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1982911004 NPI number — JENNIFER MINA DEISLER APRN, CNP

NPI Number: 1982911004
Health Care Provider/Practitioner: JENNIFER MINA DEISLER APRN, CNP

Information about “1982911004” NPI (JENNIFER MINA DEISLER APRN, CNP) exists in 1982911004 in HTML format HTML  |  1982911004 in plain Text format TXT  |  1982911004 in PDF (Portable Document Format) PDF  |  1982911004 in an XML format XML  formats.

NPI Number : 1982911004 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982911004",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEISLER",
    "FirstName": "JENNIFER",
    "MiddleName": "MINA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN, CNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KLING",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "MINA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN, CNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3300 OAKDALE AVE N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROBBINSDALE",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55422-2926",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "763-581-3700",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3300 OAKDALE AVE N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROBBINSDALE",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55422-2926",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "763-520-7647",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/10/2010",
    "LastUpdateDate": "02/15/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "R179679-5",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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