Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB KOHL PEDERSON, APRN CNP
ActiveGerontological Nurse Practitioner · FARGO, ND
Registration Details
- NPI Number
- 1770243727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2021 (4.3536196388873 yrs)
- Last Updated
- Dec 17, 2021
- License
-
R51672 (ND)
Practice Information
- Address
-
3000 32ND AVE SFARGO, ND, 581036132Browse ND providers · Browse ZIP 58103
- Phone
- 7013648000
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| MS. MELISSA DALE JOHN | APRN, CNP | 1609177674 |
| AMY J HESTBECK | NPC | 1306137195 |
| MRS. NICOLE MARIE WINDJUE | GNP-BC | 1750634622 |
| BREANNA DINAE MOHAGEN | APRN | 1083368054 |
| MERCY OFORIWAA ANDOH | — | 1275359507 |
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.