JACQUELYN DAWN WIERMAA NPI 1366477929

NPI Information

  • NPI: 1366477929
  • Provider Name: JACQUELYN DAWN WIERMAA
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • Address: 400 E 3RD ST
    DULUTH, MN
    ZIP 55805
  • Phone: (218) 786-8364

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NPI Details

Jacquelyn Dawn Wiermaa is a pediatric hematology-oncology pediatrics in Duluth, MN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Jacquelyn Dawn Wiermaa NPI is 1366477929. 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:

400 E 3RD ST
DULUTH, MN
ZIP 55805-951
Phone: (218) 786-8364

The enumeration date for this NPI number is 7/12/2006 and was last updated on 5/9/2011.

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
12080P0207XPediatricsPediatric Hematology-Oncology45160MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1830000302MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
234219300MEDICAIDWISCONSIN
3830000302MEDICARE PINMINNESOTA
4H62918MEDICARE UPIN
5087778600MEDICAIDMINNESOTA

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: 11/21/2025

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