Individual provider · Type 1 NPI

Jaci Rae Hannasch, CNP

Nurse Practitioner · Marshall, MN

NPI number 1760140180 Active

Practice location

300 S Bruce St
Marshall, MN 56258-1934

Mailing address

507 Mercedes Dr
Marshall, MN 56258-5497

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X8803 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1760140180

Jaci Rae Hannasch, CNP's National Provider Identifier is 1760140180, issued on Dec 2, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marshall, MN. The record was last updated on Jan 3, 2022.