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General NPI Number Information
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NPI Number | 1114476512
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Entity Type | Individual
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Provider Name | JEANNIE MICHELLE CAMPE NP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 333 WASHINGTON AVE N
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-2263
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Country | US
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Telephone | 612-873-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 5108 W 104TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55437-2513
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Country | US
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Telephone | 507-317-5556
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R1935776
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4838
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License Number State | MN
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