Carmen Jean Jacobson P.A.-C

NPI 1063510550 - Physician Assistant - 363AM0700X

NPI Details
NPI 1063510550
Gender Female
Enumeration Date 09/20/2006
Last Updated 08/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2550 UNIVERSITY AVE W
SUITE 110N
SAINT PAUL MN, 55114-1052, US
Phone (651) 602-5311
Fax (651) 222-6786
Business Location
2550 UNIVERSITY AVE W
SUITE 110N
SAINT PAUL MN, 55114-1052, US
Phone (651) 602-5311
Fax (651) 222-6786
Toxanomy
Taxonomy Code 363AM0700X
License State Minnesota
License Number 9775
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According to our database, Carmen Jean Jacobson P.A.-C NPI is 1063510550, taxonomy code is 363AM0700X and license number is 9775, license state is located at Minnesota. Carmen Jean Jacobson P.A.-C physically located at 2550 University Ave W, Saint Paul MN, 55114-1052. NPI Number Carmen Jean Jacobson P.A.-C has the Individual type.

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1063510550 NPI number is provided on an as is basis without warranty of any kind. 1063510550 is maintained by the National Plan & Provider Enumeration System. The contents of Carmen Jean Jacobson P.A.-C are for informational purposes only.