Provider Demographics
NPI:1447443130
Name:BEISSEL, JENNIFER A (APRN, CNP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:A
Last Name:BEISSEL
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Gender:F
Credentials:APRN, CNP
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-552-2614
Practice Address - Street 1:11855 ULYSSES ST NE STE 110
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-3948
Practice Address - Country:US
Practice Address - Phone:763-581-0555
Practice Address - Fax:763-581-0524
Is Sole Proprietor?:No
Enumeration Date:2007-08-25
Last Update Date:2022-03-14
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Provider Licenses
StateLicense IDTaxonomies
MN3387363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily