NPI 1285140442 · live from the CMS NPI Registry
Jessica Mae Brabender, APRN, CPNP
Nurse Practitioner, Pediatrics in St Louis Park, MN. National Provider Identifier 1285140442, active.
NPI record
| NPI | 1285140442 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 3850 Park Nicollet Blvd, St Louis Park, MN 55416 |
| Practice phone | 952-993-3123 |
| Enumerated | December 22, 2017 |
| Last updated | February 2, 2018 |
| Sole proprietor | No |
| Other names | Jessica Byrnes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 5561 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.