Individual provider · Type 1 NPI
Jennifer Debra Kish, GNP
Gerontology Nurse Practitioner · Eden Prairie, MN
NPI number
1932372224
Active
Practice location
8307 Kimball Dr
Eden Prairie, MN 55347-2127
Mailing address
1157 Jubert Trl
Medina, MN 55340-3707
Other practice locations
- 3400 W 66th St, Edina, MN 55435-2111 · (952) 836-3637
- 7701 York Street, Ste. 100, Edina, MN 55435-5543 · (125) 790-5976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R1722659 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | CNP0023 (MN) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
Other gerontology nurse practitioner providers in Eden Prairie
About NPI 1932372224
Jennifer Debra Kish, GNP's National Provider Identifier is 1932372224, issued on Apr 8, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Eden Prairie, MN. The record was last updated on Aug 28, 2021.