Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKLYN MAE ELLICKSON, MD
ActiveJACKLYN MAE ELLICKSON, MD is a Endocrinology, Diabetes & Metabolism healthcare provider located in SAINT PAUL, Minnesota. NPI 1538395496 is currently active in the NPPES registry. Verify at CMS.
Endocrinology, Diabetes & Metabolism · SAINT PAUL, MN
Registration Details
- NPI Number
- 1538395496
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2009 (17.19581337387 yrs)
- Last Updated
- Mar 17, 2022
- Licenses
-
62721-20 (WI)53921 (MN)
Practice Information
- Address
-
401 PHALEN BLVDSAINT PAUL, MN, 551305302Browse MN providers · Browse ZIP 55130
- Phone
- 6512547870
- Fax
- 6512547876
- Primary Specialty
-
Endocrinology, Diabetes & Metabolism
207RE0101X
- Additional Specialty
- Endocrinology, Diabetes & Metabolism
Other Endocrinology, Diabetes & Metabolism Providers in SAINT PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| BRIAN ALAN SWIGLO | M.D. | 1326027954 |
| GREGORY T MUCHA | MD | 1215902119 |
| MUNIR ABID | MD | 1215996954 |
| HAROLD H KATZ | MD | 1447211859 |
| JAMES J WIBERG | MD | 1154382927 |
| VICTOR ALAN CORBETT | MD | 1578526315 |
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.