Individual provider · NPI-1
Candace Jacobs Ginsberg, RN FNP
Nurse Practitioner, Family · Duluth, MN
NPI number1851638423
StatusActive
Last updated in NPPESJan 16, 2013
Details
- NPI
- 1851638423
- Entity type
- Individual (NPI-1)
- Name
- Ms. Candace Jacobs Ginsberg
- Credential
- RN FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2013
- Last updated
- Jan 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R1032763 | MN | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | R 1032763 | MN |
Practice location
130 N 60th Ave EDuluth, MN 55804-2549
Phone 218-341-5042
Mailing address
130 N 60th Ave EDuluth, MN 55804-2549
Phone 218-341-5042
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