Jennifer Maytum in Saint Paul - Nurse Practitioner
Jennifer Maytum - NPI 1629150248
Jennifer Maytum is a Nurse Practitioner in Saint Paul, Minnesota. Jennifer Maytum practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jennifer Maytum is 1629150248. The last update date is 2008-01-04.
Jennifer Maytum's current location address is 200 University Ave E, Saint Paul, Minnesota. You can contact this provider via phone number 6513252121 and fax number 6513252122. The mailing address for Jennifer Maytum is 200 University Ave E, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Maytum |
|---|---|
| Address | 200 University Ave E, Saint Paul, Minnesota |
| Phone Number | 6513252121 |
| Fax Number | 6513252122 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1629150248 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 200 University Ave E |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551012507 |
| Phone Number | 6513252121 |
| Fax Number | 6513252122 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R1036837 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 858326900 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Maytum by the Centers for Medicare & Medicaid Services?
The Jennifer Maytum has been assigned the NPI (National Provider Identifier) 1629150248. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jennifer Maytum is physically located?
The Jennifer Maytum is situated at the following address: 200 University Ave E, Saint Paul, MN 551012507.
What is the Jennifer Maytum's specialty and taxonomy code?
The Jennifer Maytum's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When was the Jennifer Maytum's 1629150248 issued?
The Jennifer Maytum's 1629150248 was issued on 2006-10-20.
As of what date were the Jennifer Maytum's details last updated?
The information pertaining to the Jennifer Maytum, including its address, specialty, and other details, was most recently updated on 2008-01-04.