NPI
Nicole Jacobi
NPI 1780041301
Read from the NPPES registry on October 26, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2016-01-27
- Last updated
- 2023-07-10
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Specialties
Licenses
- License MN
- 60242
Location
- Practice location
- 11850 Blackfoot St NW Ste 100
- City
- Coon Rapids MN
- Postal code
- 55433-2774
- Phone
- (763) 712-2100
- Fax
- (763) 712-2190
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Hematologist-Oncologists in Coon Rapids, MN. 12 with this primary taxonomy in the public file.
Other NPIs in Coon Rapids, MN. 2,174 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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