Individual provider · Type 1 NPI

Jaclyn Ann Kostecka, PA-C

Physician Assistant · Brainerd, MN

NPI number 1972103000 Active

Practice location

2014 S 6th St
Brainerd, MN 56401-4529

Call (218) 829-7812 Map

Mailing address

10516 Gull Point Rd
East Gull Lake, MN 56401-3281

Other practice locations

  • 24721 State Highway 15, St. Augusta, MN 56301-9211 · (320) 828-0972

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972103000

Jaclyn Ann Kostecka, PA-C's National Provider Identifier is 1972103000, issued on Oct 28, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brainerd, MN. The record was last updated on Dec 6, 2022.