Provider Demographics
NPI:1790466803
Name:HUESMAN, CARLEE CHEYENNE (RN-BSN, DNP, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CARLEE
Middle Name:CHEYENNE
Last Name:HUESMAN
Suffix:
Gender:F
Credentials:RN-BSN, DNP, FNP-C
Other - Prefix:
Other - First Name:CARLEE
Other - Middle Name:
Other - Last Name:JAYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7008 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LINO LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-1244
Mailing Address - Country:US
Mailing Address - Phone:360-770-7937
Mailing Address - Fax:
Practice Address - Street 1:7008 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:LINO LAKES
Practice Address - State:MN
Practice Address - Zip Code:55014-1244
Practice Address - Country:US
Practice Address - Phone:360-770-7937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID59852163W00000X, 363L00000X
MN13004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner