JESSICA JO TACKE-HANSON FNP
NPI 1548466477
Nurse Practitioner - Family in Minnetonka, MN

Active since June 26, 2007
9900 BREN RD E, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343(503) 430-9777 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Jo Tacke-hanson Fnp NPPES

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

JESSICA JO TACKE-HANSON FNP (NPI 1548466477) is an individual family provider in Minnetonka, Minnesota, licensed in Oregon (200650066NP) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1548466477
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA JO TACKE-HANSONCredential: FNP
Location Address9900 BREN RD E, MAIL ROUTE MN 008-B213Minnetonka, MN 55343-9664
Mailing Address17360 S Holly LnOregon City, OR 97045-9010 · (503) 320-6596
Sole ProprietorYes
Enumeration DateJune 26, 2007
Last NPPES UpdateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
NPI 1548466477 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 OR · 200650066NP
9900 BREN RD E, Minnetonka, MN 55343

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Gerontology)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343

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 Jessica Tacke-hanson's NPI number?

The NPI number for Jessica Tacke-hanson is 1548466477. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Jessica Tacke-hanson located?

Jessica Tacke-hanson practices at 9900 Bren Rd E Mail Route Mn 008-B213, Minnetonka, MN 55343. The listed phone number is (503) 430-9777.

What is Jessica Tacke-hanson'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 Jessica Tacke-hanson was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.