Pepin, Breanna Jacobs

Pepin, Breanna Jacobs is an individual health care provider with primary practice located at 345 Smith Ave N , Saint Paul MN 55102-2346. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pepin, Breanna Jacobs can be contacted via phone (651) 220-6210.

Contact Information

Primary practice address
345 Smith Ave N Saint Paul MN 55102-2346
Phone: (651) 220-6210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R180123-7 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1801237 Minnesota

Profile Details

NPI number 1033419585
LBN Legal business name Pepin, Breanna Jacobs
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2010
Last updated Jun 28th, 2017 - about 8 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 1033419585 NPPES
Minnesota MEDICAID ENROLLED

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