Individual provider · Type 1 NPI

Sara Joan Jennisch, MSN, CNP, AGNP-C

Gerontology Nurse Practitioner · Stillwater, MN

NPI number 1548028053 Active

Practice location

270 Main St N Ste 300
Stillwater, MN 55082-6788

Fax (651) 342-1428

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X11376 (MN)
Primary Care Nurse Practitioner 363LP2300X11376 (MN)
Gerontology Nurse Practitioner Primary 363LG0600X11376 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1548028053

Sara Joan Jennisch, MSN, CNP, AGNP-C's National Provider Identifier is 1548028053, issued on Mar 8, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Stillwater, MN. The record was last updated on May 4, 2026.