Individual provider · Type 1 NPI

Jeremy Lee Coudron, NP

Nurse Practitioner · Coon Rapids, MN

NPI number 1215547757 Active

Practice location

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522

Call (651) 747-7676 Map

Other practice locations

640 Jackson St, St. Paul, MN 55101-2502 · (952) 967-7977

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	7594 (MN)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215547757

Jeremy Lee Coudron, NP's National Provider Identifier is 1215547757, issued on Aug 7, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Apr 25, 2023.