Individual provider · Type 1 NPI

Jacqueline A. St. John, PA-C

Surgical Physician Assistant · Vadnais Heights, MN

NPI number 1811143878 Active

Practice location

3580 Arcade St
Vadnais Heights, MN 55127-7135

Call (651) 968-5770 Map

Fax (651) 968-5775

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10479 (MN)
Surgical Physician Assistant Primary 363AS0400X10479 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1811143878

Jacqueline A. St. John, PA-C's National Provider Identifier is 1811143878, issued on Aug 11, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vadnais Heights, MN. The record was last updated on Aug 30, 2019.