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

Jacqueline Vlietstra

Individual provider Specialist · NPI 1275905366

Jacqueline Vlietstra is a Specialist in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015

Practice location Address checks out

2265 Como Ave
Saint Paul, MN 55108-1737
Phone: (651) 379-6100
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 58551 (MN)

Record details

NPI number1275905366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2015
Last updated in NPPESOctober 28, 2015
Mailing address2265 Como Ave, Saint Paul, MN 55108-1737

Other providers in Saint Paul