Provider Demographics
NPI:1558539478
Name:ERDMAN, JENNIFER JOY (RN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JOY
Last Name:ERDMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 924
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073
Mailing Address - Country:US
Mailing Address - Phone:507-354-2756
Mailing Address - Fax:507-359-1260
Practice Address - Street 1:6 NORTH MINNESOTA STREET
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073
Practice Address - Country:US
Practice Address - Phone:507-359-2756
Practice Address - Fax:207-354-1260
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR222985-0163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse