NPI 1043172570

Jaelyn Rae Tykwinski

Practitioner Student in an Organized Health Care Education/Training Program Moorhead, MN

Practice location

Address: 2405 8th St S STE 200, Moorhead, MN 56560-4200
Phone: (218) 331-4866
Mailing address: 1228 Patricia CT # a, Marshall, MN 56258-2190

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043172570
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2025
Record last updated: 2 Dec 2025

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.