IndividualActive
Jenell Gilman, PA-C
NPI 1861706061 · Surgical Physician Assistant · Minneapolis, MN
Provider details
- NPI number
- 1861706061
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1459 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
800 E 28th St
Mail Route 39602
Minneapolis, MN 55407-3723
Phone: (612) 863-0846
Fax: (612) 863-4689
Approximate (ZIP-level) locationGet directions
Mailing address
800 E 28th St
Minneapolis, MN 55407-3723
Registry dates
- Enumerated
- 2010-07-29
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.