Provider Demographics
NPI:1942190491
Name:JUNKER, JENNIFER MARIE (CNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:JUNKER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26067 630TH AVE
Mailing Address - Street 2:
Mailing Address - City:COMFREY
Mailing Address - State:MN
Mailing Address - Zip Code:56019-5413
Mailing Address - Country:US
Mailing Address - Phone:320-979-0934
Mailing Address - Fax:
Practice Address - Street 1:249 5TH ST
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:MN
Practice Address - Zip Code:56175-1105
Practice Address - Country:US
Practice Address - Phone:629-840-0507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12962363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health