Mr. Jacob Kohl Pederson, APRNCNP
Mr. Jacob Kohl Pederson, APRNCNP is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2021, 5 years ago. Practices with St Marys Regional Health Center, a 188-clinician group and accepts Medicare assignment. Licensed in North Dakota.
- Years since qualifying
- 5
- Licensed in
- ND
- In the registry since
- 2021
Practice location Address checks out
3000 32nd Ave SFargo, ND 58103-6132
Phone: (701) 364-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence R51672 (ND) |
|---|
Record details
| NPI number | 1770243727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APRNCNP |
| Sole proprietor | No |
| NPI enumerated | December 17, 2021 |
| Last updated in NPPES | December 17, 2021 |
| Certification date | December 17, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | St Marys Regional Health Center — 188 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Fargo
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Mr. Nicholas Henry Frederiksen, APRN, CNP
3000 32nd Ave S, Fargo, ND 58103-6132 · (701) 364-8000
-
MS. Melissa Dale John, APRN, CNP
1702 University Dr S, Fargo, ND 58103-4940 · (701) 364-8900
-
Breanna Dinae Mohagen, APRN
1701 38th St S, Fargo, ND 58103-4499 · (701) 356-1600
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Hannah C Schiefelbein, APRN, CNP
3000 32nd Ave S, Fargo, ND 58103-6132 · (701) 364-8000
-
Mrs. Nicole Marie Windjue, GNP-BC
2101 Elm St N, Fargo, ND 58102-2417 · (701) 461-7341