NPI 1013573682

Jackson J Hermanson, PA

Practitioner Physician Assistant Rochester, MN

Practice location

Address: 200 1st St SW, Rochester, MN 55905-0001
Phone: (507) 284-2511

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 13094 (MN)

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Registry record

NPI: 1013573682
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2019
Record last updated: 9 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.