IndividualActive
Jill Pagenkopf, NNP
NPI 1730141946 · Neonatal Nurse Practitioner · Maplewood, MN
Provider details
- NPI number
- 1730141946
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- License
- R095696-3 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1655 Beam Ave
Suite 302
Maplewood, MN 55109-1163
Phone: (651) 232-7831
Fax: (651) 232-7826
Approximate (ZIP-level) locationGet directions
Mailing address
14620 Biscayne Way W
Rosemount, MN 55068-3138
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.