Individual provider · Type 1 NPI

Jody Lynn Juntunen, NP

Gerontology Nurse Practitioner · St. Louis Park, MN

NPI number 1932275880 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Mailing address

3433 Broadway St NE, Ste 300
Minneapolis, MN 55413-1761

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2006003739 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1932275880

Jody Lynn Juntunen, NP's National Provider Identifier is 1932275880, issued on Nov 24, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis Park, MN. The record was last updated on Dec 19, 2019.