Duntley, Jodie

Duntley, Jodie is an individual health care provider with primary practice located at 701 Park Ave # S1 , Minneapolis MN 55415-1623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Duntley, Jodie can be contacted via phone (612) 873-6800.

Contact Information

Primary practice address
701 Park Ave # S1 Minneapolis MN 55415-1623
Phone: (612) 873-6800
Fax: (612) 904-4322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 348363-05 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R 115323-1 Minnesota

Profile Details

NPI number 1417901109
LBN Legal business name Duntley, Jodie
Credentials CNS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Oct 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417901109 NPPES
Minnesota MEDICAID 0006633800

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