NPI 1407484363 · live from the CMS NPI Registry
Jacob Frederick Carolan, MD
Psychiatry & Neurology, Neurology in Rochester, MN. National Provider Identifier 1407484363, active.
NPI record
| NPI | 1407484363 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 5067 55th St Nw, Rochester, MN 55901 |
| Practice phone | 507-292-7070 |
| Enumerated | March 27, 2020 |
| Last updated | August 5, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 80136 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.