MEDICARE: JENNA FALTER CNM, APRN

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	367A00000X	Advanced Practice Midwife	195379	AK

General Provider Information

NPI Number	:	1588390272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA FALTER CNM, APRN

Provider Business Mailing Address
First Line	:	2828 CHICAGO AVE STE 400
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1593
Country	:	US
Telephone Number	:	612-863-5390
Fax Number	:

Provider Business Practice Location Address
First Line	:	2828 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1544
Country	:	US
Telephone Number	:	612-863-5390
Fax Number	:

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

Provider Enumeration Date	:	07/26/2022
Last Update Date	:	01/26/2026

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