Individual provider · Type 1 NPI
Jennifer Maytum, CPNP
Nurse Practitioner · St. Paul, MN
Practice location
200 University Ave E
St. Paul, MN 55101-2507
Fax (651) 325-2122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R1036837 (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 1629150248
Jennifer Maytum, CPNP's National Provider Identifier is 1629150248, issued on Oct 20, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Paul, MN. The record was last updated on Jan 4, 2008.