Individual provider · Type 1 NPI

Jennifer Elaine Trace, PA-C

Surgical Physician Assistant · Edina, MN

NPI number 1942758602 Active

Practice location

6545 France Ave S Ste 210
Edina, MN 55435-2281

Call (952) 928-2900 Map

Fax (952) 928-2944

Mailing address

2550 University Ave W Ste 110N
St. Paul, MN 55114-2001

Other practice locations

  • 2800 Chicago Ave, Suite 300, Minneapolis, MN 55407 · (651) 225-7855

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X12200 (MN)
Surgical Physician Assistant Primary 363AS0400X12200 (MN)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1942758602

Jennifer Elaine Trace, PA-C's National Provider Identifier is 1942758602, issued on Sep 12, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edina, MN. The record was last updated on Jan 30, 2023.