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

DAWN MARIE JACOBSON, MD, MPH

Deactivated

Public Health & General Preventive Medicine · WOODBURY, MN

This NPI has been deactivated. The record was deactivated on January 31, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1306264643
Provider Type: Individual
Gender: Female
NPI Issued: Apr 3, 2014 (10.830136986301 yrs)
Last Updated: Feb 5, 2025
Deactivated: Jan 31, 2025
Licenses: MD61345049 (WA)

A67499 (CA)

MD24527 (ME)

25MA11669200 (NJ)

68707 (MN)

Practice Information

Address: 1687 WOODLANE DR

WOODBURY, MN, 551253045
Browse MN providers · Browse ZIP 55125
Phone: 6516003035
Fax: 6515286149
Primary Specialty: Public Health & General Preventive Medicine
2083P0901X
Additional Specialty: Public Health & General Preventive Medicine
Additional Specialty: Public Health & General Preventive Medicine
Additional Specialty: Public Health & General Preventive Medicine
Additional Specialty: Public Health & General Preventive Medicine

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.