Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JELENA A LICINA, MD
ActiveDR. JELENA A LICINA, MD is a Internal Medicine healthcare provider located in MAPLEWOOD, Minnesota. NPI 1316921687 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · MAPLEWOOD, MN
Registration Details
- NPI Number
- 1316921687
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2005 (20.676639855895 yrs)
- Last Updated
- May 15, 2024
- Licenses
-
73953 (MN)ME 88772 (FL)50835 (CO)
Practice Information
- Address
-
1575 BEAM AVEMAPLEWOOD, MN, 551091126Browse MN providers · Browse ZIP 55109
- Phone
- 6512322000
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in MAPLEWOOD, MN
| Name | Credential | NPI |
|---|---|---|
| GAIL M AMUNDSON | MD | 1598735540 |
| SAMIR N. SALAMA | MD | 1255390498 |
| MS. CARA SUE WALZ | MD | 1538126867 |
| MS. SHANNON ELIZABETH DOYLE | MD. | 1326005679 |
| CARLOS ADAMS | MD | 1245272608 |
| SEEMA MADDALI | MD | 1467498972 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.