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NPI Code Detail

MEDICARE: MARNA ANN JACOBI NP

MEDICARE: MARNA ANN JACOBI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner175853-9MN

General Provider Information

NPI Number : 1780706515
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARNA ANN JACOBI NP
Provider Business Mailing Address
First Line : 3044 E MINNEHAHA PKWY
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-3755
Country : US
Telephone Number : 612-708-3459
Fax Number :
Provider Business Practice Location Address
First Line : 6445 RICHFIELD PKWY
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-6400
Country : US
Telephone Number : 612-252-0473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 04/01/2016

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Directions to “ MARNA ANN JACOBI NP” Practice Location

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