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Jessica Lee Tomlin Brunfelt, NP
Family Nurse Practitioner in Wyoming, Minnesota
NPI 1609802453

Jessica Lee Tomlin Brunfelt is a Family Nurse Practitioner based in Wyoming, MN and is specialized in Family. Jessica Lee Tomlin Brunfelt practices in Wyoming, MN and has the professional credentials of NP. The NPI Number for Jessica Lee Tomlin Brunfelt is 1609802453 and holds a License No. R 147155-7 (Minnesota).

The current practice location address for Jessica Lee Tomlin Brunfelt is 5200 Fairview Blvd, Wyoming, MN and can be reached out via phone at 651-982-7600.

Location: 5200 Fairview Blvd, Wyoming, MN, 55092-8013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609802453
Provider Name
Jessica Lee Tomlin Brunfelt
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5200 Fairview Blvd, Wyoming, MN, 55092-8013
Phone Number
651-982-7600
Fax Number
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4304547 05 MT
2293216 01 MN ARAZ
01-06279 01 MN MEDICA PRIMARY
132544 01 MN UCARE
HP48876 01 MN HEALTHPARTNERS
01-19710 01 MN MEDICA CHOICE
1042813 01 MN PREFERRED ONE
459R7TO 01 MN BCBS
0590695 01 IA IA MA
403132600 05 MN
41254200 05 WI
institution
Provider Business Practice Location Address Details
Address
5200 Fairview Blvd
City
Wyoming
State
Minnesota
Zip
55092-8013
Phone Number
651-982-7600
Fax Number
person
Provider Business Mailing Address Details
Address
5200 Fairview Blvd
City
Wyoming
State
Minnesota
Zip
55092-8013
Phone Number
651-982-7600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R 147155-7 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R 147155-7 (Minnesota)
Definition
Definition to come...
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