Jacobsen, Kara B

Jacobsen, Kara B is an individual health care provider with primary practice located at 2525 Chicago Ave S Attn Childrens Primary Clinic Mpls, Minneapolis MN 55404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jacobsen, Kara B can be contacted via phone (612) 813-6107.

Contact Information

Primary practice address
2525 Chicago Ave S Attn Childrens Primary Clinic Mpls Minneapolis MN 55404
Phone: (612) 813-6107
Fax: (612) 813-7473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R1213362 Minnesota

Profile Details

NPI number 1437150356
LBN Legal business name Jacobsen, Kara B
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 17 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 1437150356 NPPES
Minnesota MEDICAID 1931525900

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