Individual provider · NPI-1

Dr. Jihan Maria Abbott, D.O.

Family Medicine · Woodbury, MN

NPI number1306138870
StatusActive
Last updated in NPPESJan 9, 2023

Details

NPI
1306138870
Entity type
Individual (NPI-1)
Name
Dr. Jihan Maria Abbott
Credential
D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2011
Certification date
Jan 8, 2023
Last updated
Jan 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine55324MNYes

Other names

  • Jihan Jacobs (Former Name)

Practice location

1687 Woodlane Dr
Woodbury, MN 55125-3045

Phone 651-600-3035 · Fax 651-348-8783

Mailing address

1687 Woodlane Dr
Woodbury, MN 55125-3045

Phone 651-600-3035 · Fax 651-348-8783

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