Individual provider · Type 1 NPI

Jennifer Minn, CPNP-PC

Pediatric Nurse Practitioner · Oakland, CA

NPI number 1508217092 Active

Practice location

747 52nd St
Oakland, CA 94609-1809

Mailing address

3100 Summit St
Oakland, CA 94609-3412

Other practice locations

  • 1975 4th St # C6878, San Francisco, CA 94143-2351 · (415) 514-5735
  • 3100 Summit St, Oakland, CA 94609-3412 · (510) 655-4000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X693805 (NY)
Pediatric Nurse Practitioner Primary 363LP0200XNP95009113 (CA)
Registered Nurse 163W00000X778995 (CA)
Pediatric Nurse Practitioner 363LP0200X382730 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508217092

Jennifer Minn, CPNP-PC's National Provider Identifier is 1508217092, issued on Jun 26, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oakland, CA. The record was last updated on Oct 22, 2026.