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

Dr. Liza Antoinette Jain Phu, MD

Individual provider Family Medicine Physician · NPI 1174758908

Dr. Liza Antoinette Jain Phu, MD is a Family Practice in Jordan, Minnesota. Graduated from University of Minnesota Medical School in 2007, 19 years ago. Practices with St Francis Regional Medical Center, a 124-clinician group and accepts Medicare assignment. Licensed in Illinois, Minnesota and Washington.

Years since qualifying
19
Trained at
University of Minnesota Medical School
Licensed in
IL, MN, WA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

265 Creek Ln S
Jordan, MN 55352-1214
Phone: (952) 428-1200
Fax: (952) 428-1201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 53359 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 60116222 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036.129032 (IL)

Record details

NPI number1174758908
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2009
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice St Francis Regional Medical Center — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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