Jacqueline M Gustafson, CPNP is a pediatrics nurse practitioner in Minneapolis, MN. Jacqueline M Gustafson, CPNP NPI is 1760457527. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2525 CHICAGO AVE S
CHILDRENS SPECIALTY CLINIC FEEDING CLINIC MPLS
MINNEAPOLIS, MN
ZIP 55404
Phone: (651) 220-6446
Fax: (651) 220-6860
The NPI 1760457527 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/22/2006 and was last updated on 8/10/2015.