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Contact Information

TERESA R BROST JIPP, CNNP
3300 OAKDALE AVE N
ROBBINSDALE, MN55422-2926
 Phone: 763-520-5580
 Fax: 763-520-1411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TERESA R BROST JIPP · (Female)

NPI Number 1265497291
Status Active
Credentials CNNP
Entity Individual
Enumeration date 04/20/2006
Last updated 02/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R1485679
  • MN Medicaid 288668500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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