NPI 1457779555

Jesse Jacobs

Practitioner Urology Physician Saint Paul, MN

Practice location

Address: 435 Phalen Blvd, Saint Paul, MN 55130-5302
Phone: (651) 254-8500
Mailing address: 8170 33rd Ave S, Bloomington, MN 55425-4516

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 67498 (MN)

Other Urology providers in Minnesota →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 201901598 (NC)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Minnesota →

Registry record

NPI: 1457779555
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2014
Record last updated: 31 Jul 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.