Mark Jeanson in Roseville - Licensed Practical Nurse
Mark Jeanson - NPI 1659414548
Mark Jeanson is a Licensed Practical Nurse in Roseville, Minnesota. Mark Jeanson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Mark Jeanson is 1659414548. The last update date is 2007-07-08.
Mark Jeanson's current location address is 2800 Cleveland Ave N, Roseville, Minnesota. You can contact this provider via phone number 6516421825. The mailing address for Mark Jeanson is 2800 Cleveland Ave N, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jeanson |
|---|---|
| Address | 2800 Cleveland Ave N, Roseville, Minnesota |
| Phone Number | 6516421825 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659414548 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2800 Cleveland Ave N |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551131126 |
| Phone Number | 6516421825 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | L037176-8 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique identification code assigned to Mark Jeanson by the Centers for Medicare & Medicaid Services?
The Mark Jeanson has been issued the NPI (National Provider Identifier) 1659414548. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Jeanson's facilities are geographically located?
The facilities of Mark Jeanson are physically situated at the following location: 2800 Cleveland Ave N, Roseville, MN, 551131126.
What is the area of specialization for Mark Jeanson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Jeanson is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659414548 to Mark Jeanson?
The Centers for Medicare & Medicaid Services originally issued the 1659414548 to Mark Jeanson on 2007-02-14.
When was the information pertaining to Mark Jeanson most recently updated or revised?
The details related to Mark Jeanson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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