Provider Demographics
NPI:1538694047
Name:SCHELHORN, JERRICA LEE (DNP CRNA)
Entity type:Individual
Prefix:DR
First Name:JERRICA
Middle Name:LEE
Last Name:SCHELHORN
Suffix:
Gender:
Credentials:DNP CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7455 FRANCE AVE S
Mailing Address - Street 2:PMB 416
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2302
Mailing Address - Country:US
Mailing Address - Phone:612-998-4883
Mailing Address - Fax:
Practice Address - Street 1:6099 WAYZATA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5538
Practice Address - Country:US
Practice Address - Phone:952-832-9360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-23
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN213869-5163W00000X, 163W00000X
MN3069367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95091376OtherCA BOARD OF NURSING
WI247208-30OtherWI BOARD OF NURSING
MN213869-5OtherMN BOARD OF NURSING