Individual provider · Type 1 NPI

Jacqueline Dickens, RN, LSN, PHN

School Registered Nurse · Minnetonka, MN

NPI number 1306775846 Active

Practice location

5621 County Road 101
Minnetonka, MN 55345-4214

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X2372545 (MN)

School Registered Nurse: Definition to come...

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About NPI 1306775846

Jacqueline Dickens, RN, LSN, PHN's National Provider Identifier is 1306775846, issued on May 19, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Minnetonka, MN. The record was last updated on May 19, 2026.