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Search › Minnesota › Student in an Organized Health Care Education/Training Program

Jacob Plummer

NPI 1780514893 · on the registry since 2026

Practice

Address
1300 W Medicine Lake Dr Apt 219
Plymouth, MN 55441
Phone
(763) 438-0065
Fax
(763) 438-0065
Organisation at this address
Kelly Cooper, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Sex
Male
Record last updated
2026-05-20

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 Minnesota