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NPI 1942642681

NPI 1942642681 : JEAN VANEPS CNP : GRAND RAPIDS, MN

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General NPI Number Information
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    NPI Number           |    1942642681
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    Entity Type          |    Individual 
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    Provider Name        |    JEAN VANEPS CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/23/2013
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    Last Update Date     |    11/17/2025
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Provider Practice Location Address
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    Address Line         |    502 SE 10TH ST 
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    City                 |    GRAND RAPIDS
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    State                |    MN
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    Zip                  |    55744-3921
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    Country              |    US
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    Telephone            |    218-246-6286
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    Fax                  |    218-249-1534
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Provider Business Mailing Address
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    Address Line         |    PO BOX 680 
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    City                 |    DEER RIVER
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    State                |    MN
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    Zip                  |    56636-0680
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    Country              |    US
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    Telephone            |    218-624-6562
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    Fax                  |    218-249-1534
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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        |    364S00000X
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    Taxonomy Name        |    Clinical Nurse Specialist
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    License Number       |    R951803
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    License Number State |    MN
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