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

Jacob Dennis Smith, CPRS

Individual provider Peer Specialist · NPI 1679381693

Jacob Dennis Smith, CPRS is a Peer Specialist in North Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

1826 Commerce Dr
North Mankato, MN 56003-1800
Phone: (507) 229-0350
Fax: (507) 216-0371
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 9945 (MN)

Record details

NPI number1679381693
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRS
Sole proprietorNo
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 22, 2024
Mailing address1826 Commerce Dr, North Mankato, MN 56003-1800

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