Individual provider · Type 1 NPI

Kimberly A. Jacobson, CPNP

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1871553883 Active

Practice location

347 North Smith Avenue, Childrens Specialty Clinic Hematology Oncology Stpl
St. Paul, MN 55102

Fax (651) 220-6005

Mailing address

2910 Centre Pointe Drive 35121A, Childrens Health Care
Roseville, MN 55113

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR1469844 (MN)

Pediatric Nurse Practitioner: Definition to come...

35 other providers at this address

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About NPI 1871553883

Kimberly A. Jacobson, CPNP's National Provider Identifier is 1871553883, issued on Mar 24, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Oct 16, 2012.