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

AGNES LIMUNGA JACKAI, APRN, CNP, PMHNP-BC

Active Sole Proprietor

AGNES LIMUNGA JACKAI, APRN, CNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in BLAINE, Minnesota. NPI 1891403135 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · BLAINE, MN

Registration Details

NPI Number
1891403135
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2022 (3.7278867766561 yrs)
Last Updated
May 14, 2025
License
10001 (MN)
Sole Proprietor
Yes

Practice Information

Address
1521 93RD LN NE STE 100
BLAINE, MN, 554494432
Browse MN providers · Browse ZIP 55449
Phone
6125983937

Other Psychiatric/Mental Health Nurse Practitioner Providers in BLAINE, MN

Name Credential NPI
LINDSAY JAN SCHWAB-PETERSON NP 1659777399
ABIGAIL IRENE CHRISTENSEN MSN 1184284366
ROSE EKOBENA 1669201547
IRENE V ARITA PMHNP-BC 1306723093
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.