Jodi Louise Anderson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Glencoe, MN
NPI 1760153597 · NPPES record last updated Sep 22, 2021
Key facts
- NPI
- 1760153597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 8551 (MN)
- Practice address
- 1805 Hennepin Ave N
Glencoe, MN 55336-1416 - Phone
- (320) 864-3121
- NPI assigned
- Sep 22, 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8551 | MN | Yes |
Addresses
Primary practice location
1805 Hennepin Ave N
Glencoe, MN 55336-1416
Mailing address
9220 Glacier Rd
Minnetrista, MN 55375-1347
Phone (952) 292-1127
Other providers in Glencoe, MN
- Advanced Orthopaedic Surgery, P.a.
- Adam Anderson
- Nina Kristine Appleby
- Kelly Ann Arnold
- Sheryl Marie Bartholow
- Logan Becker
- John Howard Bergseng
All providers in Glencoe, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 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.