Provider Demographics
NPI:1710343157
Name:DADZIE, JANDE Y (NP)
Entity Type:Individual
Prefix:
First Name:JANDE
Middle Name:Y
Last Name:DADZIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:YONGOR
Other - Middle Name:J
Other - Last Name:KALEEWOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1 VETERAN DR
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-0000
Mailing Address - Country:US
Mailing Address - Phone:612-467-1100
Mailing Address - Fax:
Practice Address - Street 1:1 VETERAN DRIVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-0000
Practice Address - Country:US
Practice Address - Phone:612-467-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP 3830363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology