IndividualActive
Jennifer Trace, PA-C
NPI 1942758602 · Surgical Physician Assistant · Edina, MN
Provider details
- NPI number
- 1942758602
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 12200 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6545 France Ave S Ste 210
Edina, MN 55435-2281
Phone: (952) 928-2900
Fax: (952) 928-2944
Approximate (ZIP-level) locationGet directions
Mailing address
2550 University Ave W Ste 110n
Saint Paul, MN 55114-2001
Additional practice locations (1)
- 2800 Chicago AveSuite 300Minneapolis, MN 55407Phone: (651) 225-7855Fax: (651) 312-1570
Registry dates
- Enumerated
- 2016-09-12
- Last updated
- 2023-01-30
- Certified
- 2023-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.