Donna Jean Amidon, CNP
Registered Nurse in Minneapolis, MN. Individual provider (NPI-1).
NPI number1043388192
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1043388192
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Donna Jean Amidon
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R0634023 | MN | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 82001 | MN |
Practice location
250 So 4th St Room 510Mpls Dept Of Health & Family Support School Based Clin
Minneapolis, MN 55415
Phone 612-673-5305 · Fax 612-673-3866
Mailing address
308 Parkway CourtMinneapolis, MN 55419
Phone 612-824-5401
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