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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CONNIE JAENICKE, NP

Active

CONNIE JAENICKE, NP is a Nurse Practitioner healthcare provider located in BURNSVILLE, Minnesota. NPI 1508875063 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BURNSVILLE, MN

Registration Details

NPI Number
1508875063
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2006 (19.986317532102 yrs)
Last Updated
Aug 31, 2023
Licenses
142515-0 (MN)
CNP1484 (MN)

Practice Information

Address
14000 FAIRVIEW DR
BURNSVILLE, MN, 553375713
Browse MN providers · Browse ZIP 55337
Phone
9529938700
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in BURNSVILLE, MN

Name Credential NPI
LESLIE EATON NP 1790760148
LISA BENEDETTO CNP 1447213244
MS. THERESE MARY MAAS DNP 1043543093
ANDREA BUSHAW NP 1932434917
ANNA VENN CARLSON ELLASON DNP, RN, CPNP 1356634224
MRS. PATRICIA DALY BORG R.N. 1174945513
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.