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

Individual provider Obstetrics & Gynecology Physician · NPI 1679132989

Jacquelyn Faith Mirr, MD is an Obstetrics/Gynecology in Woodbury, Minnesota. Qualified in 2019, 7 years ago. Practices with Minnesota Womens Care PA, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1687 Woodlane Dr Ste AND102
Woodbury, MN 55125-3045
Phone: (651) 600-3035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2603 White Bear Ave N, Maplewood, MN 55109-5110 — (651) 348-8783

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 74576 (MN)

Record details

NPI number1679132989
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2019
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Minnesota Womens Care Pa — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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