Individual
JEAN F WYMAN
Active
Individual
JEAN F WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R 138190-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-04568
MEDICA - PRIMARY
MN
01
—
04-08300
MEDICA - CHOICE
MN
05
—
0715078
—
IA
01
—
1019243
PREFERRED ONE
MN
01
—
123361
UCARE
MN
01
—
2378192
ARAZ
MN
05
—
41262700
—
WI
05
—
4305977
—
MT
01
—
502K7WY
BCBS
MN
01
—
84536-2
FAIRVIEW CAREGIVE
MN
01
—
B612
CHAMPUS
MN
01
—
HP27464
HEALTHPARTNERS
MN
Enumeration date
10/03/2006
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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