Jessica Lynne Poehler

Primary specialty

Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X

License

614 Issued in MN

Practice address

1025 Marsh St
Mankato, MN 56001-4752

Phone

(507) 594-4787

NPI assigned

Nov 15, 2024

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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1821813742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 LAKE ST",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MARSH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014752",
            "telephone_number": "507-594-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEHLER",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "MN",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Henry Planas, MD
• Planned Parenthood Minnesota, North Dakota, South Dakota
• David J Plevak, M.D.
• Bruce John Poburka, PH.D., CCC-SLP
• Bobbie Sue Poehler, RN
• Audra Lee Poggi, PHARM. D.
• Gabriel Gowrie Pokhai, M.D.
• Andrea M. Pollema, M.D.
• Matthew Gerald Pollema, MD
• Ashwini S Poola

• Clinical Nurse Specialist in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.