Individual provider · NPI-1
Jennifer Ackerson, NP
Nurse Practitioner, Family · Fargo, ND
NPI number1851117428
StatusActive
Last updated in NPPESDec 23, 2025
Details
- NPI
- 1851117428
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Ackerson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2024
- Certification date
- Dec 23, 2025
- Last updated
- Dec 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 203734 | ND | Yes |
| 163W00000X | Registered Nurse | R43465 | ND |
Practice location
2607 University DrFargo, ND 58103
Phone 701-951-3130
Mailing address
2607 University DrFargo, ND 58103
Phone 701-951-3130
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