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NICOLE MARIE JENABZADEH CNP
NPI 1215224092
Nurse Practitioner - Family in Minnetonka, MN

Active since June 30, 2011
130 CHESHIRE LN STE 100, MINNETONKA, MN 55305(952) 807-0415(952) 236-6461 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Marie Jenabzadeh Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE JENABZADEH CNP (NPI 1215224092) is an individual family provider in Minnetonka, Minnesota, licensed in Minnesota (F05111030) and active in the NPI registry since June 2011. She maintains a secondary practice location in Oakdale.

NPPES Registry Identity

NPI1215224092
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MARIE JENABZADEHCredential: CNP
Location Address130 CHESHIRE LN STE 100Minnetonka, MN 55305-0002
Mailing AddressPo Box 308Forest Lake, MN 55025-0308 · (952) 807-0415 · Fax (952) 236-6461
Phone(952) 807-0415
Fax(952) 236-6461
Sole ProprietorYes
Enumeration DateJune 30, 2011
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1215224092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · F05111030
130 CHESHIRE LN STE 100, Minnetonka, MN 55305
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Secondary Practice Location 1

Location 17591 9th St N Ste 100Oakdale, MN 55128-6626 · Phone (952) 807-0415 · Fax (952) 236-6461

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA JEANNE KREINER CNP
Nurse Practitioner (Family)
130 CHESHIRE LN STE 100
MINNETONKA, MN 55305
Hennepin County (952) 807-0415
MEDSTUDIO, PLLC
General Practice
130 CHESHIRE LN STE 100
MINNETONKA, MN 55305
Hennepin County (952) 807-0415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Jenabzadeh's NPI number?

The NPI number for Nicole Jenabzadeh is 1215224092. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Nicole Jenabzadeh located?

Nicole Jenabzadeh practices at 130 Cheshire Ln Ste 100, Minnetonka, MN 55305. The listed phone number is (952) 807-0415.

What is Nicole Jenabzadeh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicole Jenabzadeh was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.