Chance Lee Jakobson, PA-C
Physician Assistant in Austin, MN. Individual provider (NPI-1).
NPI number1124897699
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1124897699
- Entity type
- Individual (NPI-1)
- Name
- Chance Lee Jakobson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2023
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 14815 | MN | Yes |
Practice location
1000 1st Dr NwAustin, MN 55912-2941
Phone 507-433-7351
Mailing address
1000 1st Dr NwAustin, MN 55912-2941
Phone 507-433-7351
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