Individual provider · Type 1 NPI

Jenifer Wynne, APRN, GNP-BC

Gerontology Nurse Practitioner · Grand Forks, ND

NPI number 1700215001 Active

Practice location

3221 32nd Ave S Ste 700
Grand Forks, ND 58201-6075

Mailing address

2101 Elm St N
Fargo, ND 58102-2417

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XR31542 (ND)
Gerontology Nurse Practitioner Primary 363LG0600XR-172391-7 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1700215001

Jenifer Wynne, APRN, GNP-BC's National Provider Identifier is 1700215001, issued on Nov 6, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Forks, ND. The record was last updated on Mar 19, 2025.