JENNIFER MAYTUM CPNP
NPI 1629150248
Nurse Practitioner in Saint Paul, MN

Active since October 20, 2006
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101(651) 325-2121(651) 325-2122 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Maytum Cpnp NPPES

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

JENNIFER MAYTUM CPNP (NPI 1629150248) is an individual nurse practitioner in Saint Paul, Minnesota, licensed in Minnesota (R1036837) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1629150248
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER MAYTUMCredential: CPNP
Location Address200 UNIVERSITY AVE ESaint Paul, MN 55101-2507
Mailing Address200 University Ave ESaint Paul, MN 55101-2507 · (651) 325-2121 · Fax (651) 325-2122
Fax(651) 325-2122
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateJanuary 4, 2008
NPI 1629150248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · R1036837
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
200 UNIVERSITY AVE E, Saint Paul, MN 55101

Other Identifiers 1

Medicare UPINS62172

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.

Social Worker (Clinical)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Pediatrics (Pediatric Infectious Diseases)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Physician Assistant
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Registered Nurse (Pediatrics)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Dietitian, Registered
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Registered Nurse (Registered Nurse First Assistant)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Orthopaedic Surgery
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101

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 Jennifer Maytum's NPI number?

The NPI number for Jennifer Maytum is 1629150248. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Jennifer Maytum located?

Jennifer Maytum practices at 200 University Ave E, Saint Paul, MN 55101. The listed phone number is (651) 325-2121.

What is Jennifer Maytum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Maytum was last updated on January 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.