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

Jared Joshua Vidervol

Individual provider Registered Nurse · NPI 1467172692

Jared Joshua Vidervol is a Registered Nurse in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022

Practice location Address checks out

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone: (612) 725-2000
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2502289 (MN)

Record details

NPI number1467172692
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESMarch 15, 2026
Certification dateMarch 15, 2026

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