Mark Jeanson
Licensed Practical Nurse • Roseville, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Jeanson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mark Jeanson was a registered Licensed Practical Nurse practicing in Roseville, MN. Throughout an active medical career spanning 18 years, Mark Jeanson provided care at the practice location at 2800 CLEVELAND AVE N until profile deactivation on 2025-04-03.
Practice Location & Contact Primary Location
2800 Cleveland Ave N
Roseville, MN 551131126
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Roseville, MN
Practicing in Roseville, MN (881 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse - Home Health
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse - Home Health
Licensed Practical Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 03, 2025
NPI status registered as active in NPPES database
Registered at 2800 CLEVELAND AVE N, ROSEVILLE, MN 551131126 (Tel: 6516421825)
Registered at 3945 23RD AVE S, MINNEAPOLIS, MN 554073038
Recorded as MARK JEANSON
Licensed Practical Nurse (License #L037176-8 in MN)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
3945 23rd Ave S
Minneapolis, MN 554073038
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