Jessica Ruedy, MS, LCGC
Individual provider Active NPI Genetic Counselor (M.S.) · Minneapolis, MN
NPI 1245994458 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1245994458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Genetic Counselor (M.S.) 170300000X
- License
- 1473 (MN)
- Practice address
- 2525 Chicago Ave
Minneapolis, MN 55404-4518 - Phone
- (651) 315-1547
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1473 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 1473 | MN | Yes |
Addresses
Primary practice location
2525 Chicago Ave
Minneapolis, MN 55404-4518
Mailing address
2128 1St St
White Bear Lake, MN 55110-3411
Phone (651) 315-1547
Other providers in Minneapolis, MN
- Steven Eric Rudolph
- Annalisa Kay Eckman Rudser
- Alek Rudstrom
- Alison C Rudy
- Isaac B Rue
- Anna Ruehlow
- Salvador Ruelas Jr.
- Lola Ruff
- Mary Anne Ruff
- Lori Ruhr
All providers in Minneapolis, MN · Genetic Counselor (M.S.) in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.