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

Christine Phan Jerabek, PA

Individual provider Physician Assistant · NPI 1619722329

Christine Phan Jerabek, PA is a Physician Assistant in Roseville, Minnesota. Qualified in 2023, 3 years ago. Practices with Tareen Dermatology PA, a 44-clinician group. Licensed in Minnesota and Wisconsin.

Years since qualifying
3
Licensed in
MN, WI
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (651) 633-6883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14909 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 7902-23 (WI)

Record details

NPI number1619722329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 17, 2024
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tareen Dermatology Pa — 44 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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