Mrs. Jenna Marie Swenson
Sports Medicine
1625 Radio Dr Ste 220
Woodbury
, Minnesota 55125
Mrs. Jenna Marie Swenson
Sports Medicine
1625 Radio Dr Ste 220
Woodbury
, Minnesota 55125
(651) 241-3636
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mrs. Jenna Marie Swenson
- 1625 Radio Dr Ste 220
- Woodbury, MN
- Zip : 55125-9476
- Phone : (651) 241-3636
Second Address
- Mrs. Jenna Marie Swenson
- 1625 Radio Dr Ste 220
- Woodbury, MN
- Zip : 55125
- Phone : (651) 241-3636
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 9041 | MN |
| Y | 213ES0000X | Sports Medicine | 9041 | MN |
National Provider Identifier
| NPI | 1194070409 |
|---|---|
| Provider Name | Mrs. Jenna Marie Swenson |
| First Address | Woodbury, MN 55125-9476 |
| Second Address | Woodbury, MN 55125 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2012 |
| Last Update Date | 02/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.