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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437150356 | NPPES |
| Minnesota | MEDICAID | 1931525900 |
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