Individual provider · Type 1 NPI

Jacob Plummer

Student in an Organized Health Care Education/Training Program · Plymouth, MN

NPI number 1780514893 Active

Practice location

1300 W Medicine Lake Dr Apt 219
Plymouth, MN 55441-4855

Call (763) 438-0065 Map

Fax (763) 438-0065

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780514893

Jacob Plummer's National Provider Identifier is 1780514893, issued on May 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plymouth, MN. The record was last updated on May 20, 2026.