MR. Jacob Kohl Pederson, APRN CNP
NPI #1770243727 in Fargo, North Dakota
Provider Information
- NPI Number
- 1770243727
- Entity Type
- Individual
- Name
- MR. Jacob Kohl Pederson, APRN CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- APRN CNP
- Enumeration Date
- Dec 17, 2021
- Last Updated
- Dec 17, 2021
Practice Location
- Address
- 3000 32ND AVE S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-6132
- Phone
- (701) 364-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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