MR. Jacob Kohl Pederson, APRN CNP is a gerontology nurse practitioner in Fargo, ND with 3 years of experience. MR. Jacob Kohl Pederson, APRN CNP NPI is 1770243727. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3000 32ND AVE S
FARGO, ND
ZIP 58103-132
Phone: (701) 364-8000
The NPI 1770243727 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/17/2021 and was last updated on 12/17/2021.