CANDY JACOBSON APRN-CNP NPI 1184441602

NPI Information

  • NPI: 1184441602
  • Provider Name: CANDY JACOBSON, APRN-CNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2721 HERITAGE DR
    MINOT, ND
    ZIP 58703
  • Phone: (701) 509-4573

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NPI Details

Candy Jacobson, APRN-CNP is a primary care nurse practitioner in Minot, ND. Candy Jacobson, APRN-CNP NPI is 1184441602. 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:

2721 HERITAGE DR
MINOT, ND
ZIP 58703-651
Phone: (701) 509-4573

The NPI 1184441602 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 9/25/2024 and was last updated on 3/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care200987NORTH DAKOTANo
2363LP2300XNurse PractitionerPrimary Care200987NORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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