Eddy, Jancy Ann
Eddy, Jancy Ann is an individual health care provider with primary practice located at 801 Nicollet Mall Suite 400, Minneapolis MN 55402-2500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Eddy, Jancy Ann can be contacted via phone (612) 333-2503.Contact Information
Primary practice address
801 Nicollet Mall Suite 400
Minneapolis MN 55402-2500
Phone: (612) 333-2503
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 114182-9 | Minnesota |
Profile Details
| NPI number | 1487736013 |
|---|---|
| LBN Legal business name | Eddy, Jancy Ann |
| Credentials | WHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | May 16th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487736013 | NPPES |
| Minnesota | Other | 640042600 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | HP31353 | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 640042600 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 0703770 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 172616D686 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 0700065 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | FP9041030948 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 876119 | BLUE CROSS BLUE SHIELD |
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