Healthcare Provider Details

I. General information

NPI: 1558049619
Provider Name (Legal Business Name): JADIN TAYLOR STROMME APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JADIN TAYLOR HEIDRICH

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7151 15TH ST S
FARGO ND
58104-6613
US

IV. Provider business mailing address

7151 15TH ST S
FARGO ND
58104-6613
US

V. Phone/Fax

Practice location:
  • Phone: 701-364-2950
  • Fax: 701-364-2953
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR44583
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR44583
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10478
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: