Individual provider · Type 1 NPI
Jennie Jon Bata, APRN/DNP/PMHNP/FNP
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MN
NPI number
1255506929
Active
Practice location
813 S Pokegama Ave, Lower Level
Grand Rapids, MN 55744
Mailing address
813 S Pokegama Ave Ste B
Grand Rapids, MN 55744-3934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 7612 (MN) |
| Family Nurse Practitioner | 363LF0000X | R30139 (ND) |
| Family Nurse Practitioner | 363LF0000X | 7612 (MN) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R30139 (ND) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1255506929
Jennie Jon Bata, APRN/DNP/PMHNP/FNP's National Provider Identifier is 1255506929, issued on Apr 24, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MN. The record was last updated on Jan 28, 2026.