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

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

Practice location Address checks out

12950 Fremont Ave Ste 102
Zimmerman, MN 55398-4629
Phone: (763) 294-0714
Fax: (763) 374-7161
Show map & directions

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

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

Other providers in Zimmerman