Individual
JANCY ANN EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
801 NICOLLET MALL, SUITE 400, MINNEAPOLIS, MN 55402-2500
(612) 333-2503
Mailing address
801 NICOLLET MALL, SUITE 400, MINNEAPOLIS, MN 55402-2500
(612) 333-2503
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
114182-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700065
MEDICA DUAL/MEDICARE MA
MN
01
—
0703770
MEDICA CHOICE
MN
01
—
172616D686
U-CARE
MN
01
—
640042600
BLUE CROSS BLUE SHIELD
MN
05
—
640042600
—
MN
01
—
876119
AMERICA'S PPO
MN
01
—
FP9041030948
PREFERRED ONE
MN
01
—
HP31353
HEALTH PARTNERS
MN
Enumeration date
10/20/2006
Last updated
05/16/2016
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