Individual provider · Type 1 NPI
Connie Jaenicke, NP
Nurse Practitioner · Burnsville, MN
Practice location
14000 Fairview Dr
Burnsville, MN 55337-5713
Mailing address
8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice locations
- 1 Veterans Dr, Cardiology 111C, Minneapolis, MN 55417-2309 · (612) 467-4914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 142515-0 (MN) |
| Nurse Practitioner Primary | 363L00000X | CNP1484 (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 1508875063
Connie Jaenicke, NP's National Provider Identifier is 1508875063, issued on Aug 5, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Burnsville, MN. The record was last updated on Aug 31, 2023.