Connie Jaenicke in Burnsville - Nurse Practitioner
Connie Jaenicke - NPI 1508875063
Connie Jaenicke is a Nurse Practitioner in Burnsville, Minnesota. Connie Jaenicke practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Connie Jaenicke is 1508875063. The last update date is 2023-08-31.
Connie Jaenicke's current location address is 14000 Fairview Dr, Burnsville, Minnesota. You can contact this provider via phone number 9529938700. The mailing address for Connie Jaenicke is 14000 Fairview Dr, Burnsville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Jaenicke |
|---|---|
| Address | 14000 Fairview Dr, Burnsville, Minnesota |
| Phone Number | 9529938700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1508875063 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2023-08-31 |
Provider Mailing Address Detail
| Address | 14000 Fairview Dr |
|---|---|
| City | Burnsville |
| State | Minnesota (MN) |
| Post Code | 553375713 |
| Phone Number | 9529938700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | CNP1484 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Connie Jaenicke by the Centers for Medicare & Medicaid Services?
The Connie Jaenicke has been issued the NPI (National Provider Identifier) 1508875063 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Connie Jaenicke's physical address?
The Connie Jaenicke is physically located at 14000 Fairview Dr, in the city of Burnsville, MN, with the postal code 553375713.
What is Connie Jaenicke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Connie Jaenicke is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Connie Jaenicke receive the assignment of its 1508875063 from the Centers for Medicare & Medicaid Services?
The Connie Jaenicke was issued its 1508875063 by the Centers for Medicare & Medicaid Services on 2006-08-05.
When was the information regarding Connie Jaenicke, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Connie Jaenicke, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-08-31.