Mary Jo Quinn, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP2524042 Issued in FL

Practice address

9900 Bren Rd E
Minnetonka, MN 55343-9664

Phone

(863) 220-0265

NPI assigned

Jan 7, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1679710016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 ALTAVISTA CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102795",
            "telephone_number": "813-900-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "863-220-0265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12973 N Telecom Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370907",
            "country_code": "US",
            "telephone_number": "813-871-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2524042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PW Clinics PLLC
• David Aaron Quale, M.D.
• Queryrx
• Susan Armiita Quigley, D.C.
• Dixie Lee Quinn, PT
• Jacob Tyler Quinton
• Kara Quist, PT
• Halima Ali Qureshi, MBBS
• Melissa Anne Raatz, MSW, LICSW, CHT
• Megan Elizabeth Raby, SLP-CF

• Adult Health Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.