IndividualActive
Jacqueline St. John, PA-C
NPI 1811143878 · Surgical Physician Assistant · Vadnais Heights, MN
Provider details
- NPI number
- 1811143878
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10479 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone: (651) 968-5770
Fax: (651) 968-5775
Approximate (ZIP-level) locationGet directions
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Registry dates
- Enumerated
- 2008-08-11
- Last updated
- 2019-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.