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

MR. JACOB KOHL PEDERSON, APRN CNP

Active

Gerontological 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 S
FARGO, ND, 581036132
Browse 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.