Individual provider · Type 1 NPI
Jean Marie Kummer Iv, CNP
Family Nurse Practitioner · St. Paul, MN
NPI number
1205843307
Active
Practice location
4831 Richard Ln
St. Paul, MN 55122-2784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 3286 (MN) |
| Family Nurse Practitioner | 363LF0000X | R85803-2 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | 3286 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205843307
Jean Marie Kummer Iv, CNP's National Provider Identifier is 1205843307, issued on Aug 2, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Paul, MN. The record was last updated on Nov 9, 2020.