Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB DANIELS, PA-C
ActiveJACOB DANIELS, PA-C is a Physician Assistant healthcare provider located in BLAINE, Minnesota. NPI 1265189161 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLAINE, MN
Registration Details
- NPI Number
- 1265189161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2022 (4.423995883511 yrs)
- Last Updated
- Sep 15, 2022
Practice Information
- Address
-
4365 PHEASANT RIDGE DR NE STE 106BLAINE, MN, 554494544Browse MN providers · Browse ZIP 55449
- Phone
- 8889383838
- Fax
- 8889191083
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN W STOULIL | PAC | 1104800358 |
| RICHARD B HATHAWAY | PAC | 1710961966 |
| CYNTHIA S JANSEN | PAC | 1457335044 |
| MICHELLE MANOS | PA-C | 1760539746 |
| TIFFANY S HALL | PA-C | 1205012424 |
| MR. SHANE M. TSUBAKI | PA-C | 1336309384 |
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.