Individual provider · Type 1 NPI
Jennifer Novak
Gerontology Nurse Practitioner · Maplewood, MN
NPI number
1023557352
Active
Practice location
2165 White Bear Ave N
Maplewood, MN 55109-2707
Mailing address
8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CNP 5012 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | CNP 5012 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1023557352
Jennifer Novak's National Provider Identifier is 1023557352, issued on Feb 20, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Maplewood, MN. The record was last updated on Feb 25, 2020.