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

Mrs. Jacqueline M Samuelson, PA-C

Individual provider Physician Assistant · NPI 1972743391

Mrs. Jacqueline M Samuelson, PA-C is a Physician Assistant in Mankato, Minnesota. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1961 Premier Dr Ste 330
Mankato, MN 56001-6494
Phone: (507) 420-4681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972743391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2009
Last updated in NPPESApril 28, 2015
Mailing address1961 Premier Dr Ste 330, Mankato, MN 56001-6494

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