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

Jacqueline M Gustafson, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1760457527

Jacqueline M Gustafson, CPNP is a Pediatric Nurse Practitioner in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

2525 Chicago Ave S Childrens Specialty Clinic Feeding Clinic Mpls
Minneapolis, MN 55404
Phone: (651) 220-6446
Fax: (651) 220-6860
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence R1423754 (MN)

Record details

NPI number1760457527
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESAugust 10, 2015

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