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Search › North Dakota › Gerontology Nurse Practitioner

Jacob Pederson, APRN CNP

NPI 1770243727 · on the registry since 2021

Practice

Address
3000 32nd Ave S
Fargo, ND 58103
Phone
(701) 364-8000
Organisation at this address
Innovis Health Llc
Dakota Clinic, Ltd.
Innovis Health, Llc
Dakota Clinic, Ltd.
Dakota Clinic Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
362

Registry record

Primary taxonomy
Gerontology Nurse Practitioner
363LG0600X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-17
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota