MEDICARE: JENNIFER JEANNE TERNES RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1953554	MN

General Provider Information

NPI Number	:	1366395519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER JEANNE TERNES RN

Provider Business Mailing Address
First Line	:	9206 2ND AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-3736
Country	:	US
Telephone Number	:	763-477-1995
Fax Number	:

Provider Business Practice Location Address
First Line	:	9206 2ND AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-3736
Country	:	US
Telephone Number	:	763-477-1995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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