NPI 1356760987 · live from the CMS NPI Registry
Jaclyn N Jacobs, M.D.
Internal Medicine, Gastroenterology in Saint Cloud, MN. National Provider Identifier 1356760987, active.
NPI record
| NPI | 1356760987 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1900 Centracare Cir, Saint Cloud, MN 56303 |
| Practice phone | 320-229-4916 |
| Mailing address | 2500 Metrohealth Dr, Gastroenterology Department, Cleveland, OH 44109 |
| Enumerated | April 10, 2014 |
| Last updated | May 11, 2020 |
| Sole proprietor | No |
| Other names | Jaclyn Clements |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 67165 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.