DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JENNY E ENSTROM PA

MEDICARE: JENNY E ENSTROM PA
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
1363A00000XPhysician Assistant9824MN

General Provider Information

NPI Number : 1982670956
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY E ENSTROM PA
Provider Business Mailing Address
First Line : 8170 33RD AVE S
Second Line : MS 21110Q
City : BLOOMINGTON
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 530 3RD ST NW
Second Line :
City : ELK RIVER
State : MN
Zip : 55330-1445
Country : US
Telephone Number : 763-587-4800
Fax Number : 763-587-4845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 10/27/2021

Similar Medicare Providers

1285638221 — MR. WILLIAM ANDREW WIMMER RPH
Practice Location Address:
530 3RD ST NW
ELK RIVER, MN
55330-1445
Practice Phone: 763-441-0764
Practice Fax: 763-712-6429
1326013046 — PAULA M AMAN PA C
Practice Location Address:
530 3RD ST NW , MAIL STOP 39400A
ELK RIVER, MN
55330-1445
Practice Phone: 763-712-6000
Practice Fax: 763-712-6591
1053387456 — CHARLES WILLIAM LAIS MD
Practice Location Address:
530 3RD ST NW , MAIL STOP 39400A
ELK RIVER, MN
55330-1445
Practice Phone: 763-712-6000
Practice Fax: 763-712-6591
1700852027 — MARILYN E BARNES PNP
Practice Location Address:
530 3RD ST NW , MAIL STOP 39400A
ELK RIVER, MN
55330-1445
Practice Phone: 763-712-6000
Practice Fax: 763-712-6591
1861468142 — LINDA K FRIEDE WHNP
Practice Location Address:
530 3RD ST NW , MAIL STOP 39400A
ELK RIVER, MN
55330-1445
Practice Phone: 763-712-6000
Practice Fax: 763-712-6591
1801862198 — LORI LEE CLELAND NP
Practice Location Address:
530 3RD ST NW , MAIL STOP 39400A
ELK RIVER, MN
55330-1445
Practice Phone: 763-712-6000
Practice Fax: 763-712-6591

Directions to “ JENNY E ENSTROM PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.