Peak, Jayne Ellen

Peak, Jayne Ellen is an individual health care provider with primary practice located at 9900 Bren Road East Mail Route Mn 008-B213, Minnetonka MN 55343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peak, Jayne Ellen can be contacted via phone (800) 561-0861.

Contact Information

Primary practice address
9900 Bren Road East Mail Route Mn 008-B213 Minnetonka MN 55343
Phone: (800) 561-0861
Fax: (563) 421-3129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP7967 Arizona

Profile Details

NPI number 1104828276
LBN Legal business name Peak, Jayne Ellen
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Sep 15th, 2020 - about 6 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 1104828276 NPPES
Iowa Other 15939 IOWA MIDLANDS CHOICE
Iowa Other 03262 IOWA MIDLANDS CHOICE
Iowa MEDICAID 1583450 IOWA MIDLANDS CHOICE
Iowa MEDICAID 2583450 IOWA MIDLANDS CHOICE

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