NPI 1225725195

Jordyn Peacock, PHYSICIANASSISTANT

Practitioner Physician Assistant Minot, ND

Practice location

Address: 10 Missile Ave, Minot, ND 58705-5003
Phone: (701) 723-5633

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1225725195
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2023
Record last updated: 24 Sep 2024

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.