Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jan Marie Nicodemus

Individual provider Home Health Aide · NPI 1659886448

Jan Marie Nicodemus is a Home Health Aide in Zimmerman, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Zimmerman, MN

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 155 Trail Dr, Ranchester, WY 82839-5030 — (763) 238-5215

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X · Licence 10704477 (MN)

Record details

NPI number1659886448
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2017
Last updated in NPPESJuly 21, 2024
Certification dateJuly 21, 2024

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