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

Jacob Plummer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780514893

Jacob Plummer is a Student in an Organized Health Care Education/Training Program in Plymouth, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1300 W Medicine Lake Dr Apt 219
Plymouth, MN 55441-4855
Phone: (763) 438-0065
Fax: (763) 438-0065
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780514893
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address1300 W Medicine Lake Dr Apt 219, Plymouth, MN 55441-4855

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