IndividualActive
Jenna Van Beck
NPI 1184079535 · Otolaryngology Physician · Edina, MN
Provider details
- NPI number
- 1184079535
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 71380 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5050 France Ave S, Suite 150
Edina, MN 55410-2076
Phone: (612) 626-5900
Approximate (ZIP-level) locationGet directions
Mailing address
5050 France Ave S, Suite 150
Edina, MN 55410-2076
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2024-10-25
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.