DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACEY ELIZABETH NOVAK

Active

JACEY ELIZABETH NOVAK is a Occupational Therapist healthcare provider located in GRAND FORKS, North Dakota. NPI 1063390102 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GRAND FORKS, ND

Registration Details

NPI Number
1063390102
Provider Type
Individual
Gender
Female
NPI Issued
Aug 26, 2025 (0.99339026326611 yrs)
Last Updated
Aug 26, 2025
Licenses
A3090 (MN)
1348A (ND)

Practice Information

Address
1375 S COLUMBIA RD
GRAND FORKS, ND, 582014015
Browse ND providers · Browse ZIP 58201
Phone
7017805000
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in GRAND FORKS, ND

Name Credential NPI
MISS AMANDA CAROLINE OSTLIE PTA 1285842765
JENNA C RYDQUIST PTA 1376890186
KAILA ANN KOWALSKI PTA 1346590478
BRITTNEY LORRAINE JOHNSON PTA 1891035945
DANIELLE WEINREIS 1619423423
MORGAN BARRY 1023567377
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.