Jocelyn Checco de Souza, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R201278-2 Issued in MN

Practice address

810 4TH Ave S
Suite 101
Moorhead, MN 56560-2800

Phone

(218) 236-6502

NPI assigned

Jan 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1700062304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14856 VICTORY LN",
            "city": "LAKE PARK",
            "state": "MN",
            "postal_code": "565549135",
            "telephone_number": "763-639-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 4TH AVE S",
            "address_2": "SUITE 101",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602800",
            "telephone_number": "218-236-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECCO DE SOUZA",
        "first_name": "JOCELYN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "700352",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R201278-2",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R38151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bethany Ann Chapman, MS, LADC, LSW
• Brianna Chatterton
• Leah Ann Cherney, MHA, ATC
• Chris Ndede Kojo Baidoe
• Anne M Christensen
• Laura Marie Christensen, LICSW
• Noah Robert Christenson, BA

• Family Nurse Practitioner in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.