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

Jordan James Reese, CNP

Individual provider Registered Nurse · NPI 1194215830

Jordan James Reese, CNP is a Nurse Practitioner in Detroit Lakes, Minnesota. Qualified in 2018, 8 years ago. Practices with Mahnomen Health Center, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
8
Licensed in
MN, ND
In the registry since
2018
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1295 Bay Ridge Dr
Detroit Lakes, MN 56501
Phone: (218) 289-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2033172 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R2033172 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 41156 (ND)

Record details

NPI number1194215830
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorYes
NPI enumeratedMay 17, 2018
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mahnomen Health Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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