person
Mr. Jacob Kohl Pederson, APRNCNP
Gerontology Nurse Practitioner in Fargo, North Dakota
NPI 1770243727

Jacob Kohl Pederson is a Gerontology Nurse Practitioner based in Duluth, ND and is specialized in Gerontology. Jacob Kohl Pederson practices in Fargo, ND and has the professional credentials of APRNCNP. The NPI Number for Jacob Kohl Pederson is 1770243727 and holds a License No. R51672 (North Dakota).

The current practice location address for Jacob Kohl Pederson is 3000 32Nd Ave S, Fargo, ND and can be reached out via phone at 701-364-8000.

Location: 3000 32Nd Ave S, Fargo, ND, 55805-1951
person
Provider Profile Details
NPI Number
1770243727
Provider Name
Jacob Kohl Pederson
Credential
APRNCNP
Provider Entity Type
Individual
Gender
Male
Address
3000 32Nd Ave S, Fargo, ND, 55805-1951
Phone Number
701-364-8000
Fax Number
Provider Enumeration Date
12/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3000 32Nd Ave S
City
State
Zip
58103-6132
Phone Number
701-364-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3000 32Nd Ave S
City
State
Zip
58103-6132
Phone Number
701-364-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R51672 (North Dakota)
Definition
Definition to come...
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