Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candy Jacobson, APRN-CNP

Individual provider Primary Care Clinic/Center · NPI 1184441602

Candy Jacobson, APRN-CNP is a Nurse Practitioner in Minot, North Dakota. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in North Dakota.

Years since qualifying
2
Licensed in
ND
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2721 Heritage Dr
Minot, ND 58703-1651
Phone: (701) 509-4573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 200987 (ND)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 200987 (ND)

Record details

NPI number1184441602
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedSeptember 25, 2024
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address2721 Heritage Dr, Minot, ND 58703-1651

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Minot