IndividualActive
Carmen Jacobson, P.A.-C
NPI 1063510550 · Medical Physician Assistant · Saint Paul, MN
Provider details
- NPI number
- 1063510550
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- 9775 (MN)
Practice location
2550 University Ave W
Suite 110n
Saint Paul, MN 55114-1052
Phone: (651) 602-5311
Fax: (651) 222-6786
Mailing address
2550 University Ave W
Saint Paul, MN 55114-1052
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2013-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.