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

Jade Pakkala

Individual provider Specialist · NPI 1225633530

Jade Pakkala is a Specialist in Minot, North Dakota. Licensed in North Dakota. Registered with an NPI since 2020.

Licensed in
ND
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1905 2nd St SE Ste 1B
Minot, ND 58701-6566
Phone: (701) 838-7800
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 00000 (ND)
Specialist Taxonomy 174400000X

Record details

NPI number1225633530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2020
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address3911 20th Ave S, Fargo, ND 58103-4705

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