Individual provider · Type 1 NPI

Jettie Mae Ndumbe I, LPN

Licensed Practical Nurse · Maplewood, MN

NPI number 1225977028 Active

Practice location

3100 Kennard St Ste 100
Maplewood, MN 55109-5466

Call (651) 225-5400 Map

Fax (612) 713-6727

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL423098 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5 other providers at this address

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About NPI 1225977028

Jettie Mae Ndumbe I, LPN's National Provider Identifier is 1225977028, issued on Mar 26, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Maplewood, MN. The record was last updated on Mar 26, 2026.