Provider Demographics
NPI:1952835449
Name:TEUNIS, JAMIE LYNN (DNP, CNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LYNN
Last Name:TEUNIS
Suffix:
Gender:F
Credentials:DNP, CNP, PMHNP-BC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:KIRSCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3151 DEAN CT
Mailing Address - Street 2:UNIT 503
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-4387
Mailing Address - Country:US
Mailing Address - Phone:612-251-5409
Mailing Address - Fax:
Practice Address - Street 1:1934 HENNEPIN AVE STE 300
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-4035
Practice Address - Country:US
Practice Address - Phone:952-737-4566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 210607-0163W00000X
MN5265363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse