IndividualActive
Jeanine Edstrom, PAC
NPI 1447560693 · Surgical Physician Assistant · Eagan, MN
Provider details
- NPI number
- 1447560693
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 1504 (MN)
Practice location
1185 Town Centre Dr Ste 200
Eagan, MN 55123-1343
Phone: (612) 871-1145
Fax: (612) 870-5491
Mailing address
Po Box 14909
Minneapolis, MN 55414-0909
Registry dates
- Enumerated
- 2010-10-20
- Last updated
- 2013-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.