JENIFER WYNNE APRN GNP-BC NPI 1700215001

NPI Information

  • NPI: 1700215001
  • Provider Name: JENIFER WYNNE, APRN, GNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3221 32ND AVE S STE 700
    GRAND FORKS, ND
    ZIP 58201
  • Phone: (701) 239-3700

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NPI Details

Jenifer Wynne, APRN, GNP-BC is a gerontology nurse practitioner in Grand Forks, ND. Jenifer Wynne, APRN, GNP-BC NPI is 1700215001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3221 32ND AVE S STE 700
GRAND FORKS, ND
ZIP 58201-075
Phone: (701) 239-3700

The NPI 1700215001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyR31542NORTH DAKOTANo
2363LG0600XNurse PractitionerGerontologyR-172391-7MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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