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Agnes Jackai, APRN, CNP, PMHNP-BC — NPI 1891403135, Blaine, MN | NPI Central

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NPI 1891403135

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Agnes Jackai, APRN, CNP, PMHNP-BC

NPI 1891403135 · Psychiatric/Mental Health Nurse Practitioner · Blaine, MN

Provider details

NPI number: 1891403135
Entity type: Individual
Primary specialty: Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: APRN, CNP, PMHNP-BC
Sex: Female
Sole proprietor: Yes
License: 10001 (MN)

Specialties & taxonomies

Psychiatric/Mental Health Nurse PractitionerPrimary363LP0808XLicense 10001 (MN)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

1521 93rd Ln Ne Ste 100

Blaine, MN 55449-4432

Phone: (612) 598-3937

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

1521 93rd Ln Ne Ste 100

Blaine, MN 55449-4432

Additional practice locations (1)

1810 Hayes St Ne Apt 12
Minneapolis, MN 55418-5005
Phone: (612) 598-3937

Registry dates

Enumerated: 2022-11-07
Last updated: 2025-05-14
Certified: 2025-05-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.