Decker, Jerika A

Decker, Jerika A is an individual health care provider with primary practice located at 3931 Louisiana Ave S , St Louis Park MN 55426-5000. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Decker, Jerika A can be contacted via phone (952) 993-3230.

Contact Information

Primary practice address
3931 Louisiana Ave S St Louis Park MN 55426-5000
Phone: (952) 993-3230
Fax: (952) 993-1748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1205475126
LBN Legal business name Decker, Jerika A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2019
Last updated Oct 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205475126 NPPES
Tennessee MEDICAID Q062439

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