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

Jill Marie Norman Wooldridge, PA

Individual provider Physician Assistant · NPI 1356413801

Jill Marie Norman Wooldridge, PA is a Physician Assistant in Minneapolis, Minnesota. Qualified in 1991, 35 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
35
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 625-8400
Fax: (612) 677-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9069 (MN)

Record details

NPI number1356413801
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 13, 2006
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated

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