Search › Minnesota › 363A00000X
Jaclyn Dewalt, PA-C
NPI 1912194291 · on the registry since 2007
Practice
- Address
- 15350 English Ave
Apple Valley, MN 55124 - Phone
- (952) 431-8500
- Organisation at this address
- Group Health, Inc.
Group Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-14
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