JENNA JOHNSON NP
NPI 1780987818
Nurse Practitioner - Family in Minnetonka, MN

Q: What is Jenna Johnson's NPI number?

The NPI number for Jenna Johnson is 1780987818. It was assigned to this individual provider in the NPPES registry on December 11, 2010.

Q: What is Jenna Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jenna Johnson was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 11, 2010

9900 BREN RD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343(480) 490-3507 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2021, Jun 24, 2020 (2 updates tracked since 2020).

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About Jenna Johnson Np NPPES

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

JENNA JOHNSON NP (NPI 1780987818) is an individual family provider in Minnetonka, Minnesota, licensed in Arizona (AP11439) and active in the NPI registry since December 2010. She maintains a secondary practice location in Cypress.

NPPES Registry Identity

NPI1780987818

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNA JOHNSONCredential: NP

Location Address9900 BREN RD EAST, MAIL ROUTE MN 008-B213Minnetonka, MN 55343

Mailing AddressPo Box 1459Minneapolis, MN 55440-1459

Phone(480) 490-3507

Sole ProprietorNo

Enumeration DateDecember 11, 2010

Last NPPES UpdateMay 3, 20212 updates tracked since enumeration

NPPES CertifiedMay 3, 2021

✔ NPI 1780987818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · AP11439✔ Licensed in WA · NP60908265✔ Licensed in NV · 813759

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95011251 (CA)

9900 BREN RD EAST, Minnetonka, MN 55343

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Secondary Practice Location 1

Location 15757 Plaza DrCypress, CA 90630-5000 · Phone (480) 490-3507

Other Providers at the Same Location NPPES 6

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

ANTHONY BRAY AGACNP

Nurse Practitioner (Gerontology)