NPI 1194693440 · live from the CMS NPI Registry
Jennifer Hansen
Nurse Practitioner, Pediatrics in Minot Afb, ND. National Provider Identifier 1194693440, active.
NPI record
| NPI | 1194693440 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 10 Missile Ave, Minot Afb, ND 58705 |
| Practice phone | 701-723-5633 |
| Enumerated | October 28, 2025 |
| Last updated | September 16, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1031913 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.