MYKAELA JACOBSON
NPI 1356088355
Specialist in Moorhead, MN

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since May 19, 2022

1505 30TH AVE S, MOORHEAD, MN 56560(218) 287-4338 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mykaela Jacobson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYKAELA JACOBSON (NPI 1356088355) is an individual specialist in Moorhead, Minnesota and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1356088355

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMYKAELA JACOBSON

Location Address1505 30TH AVE SMoorhead, MN 56560-5149

Mailing Address1547 30th Ave SMoorhead, MN 56560-5149

Phone(218) 287-4338

Sole ProprietorNo

Enumeration DateMay 19, 2022

NPPES CertifiedMay 19, 2022

✔ NPI 1356088355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1505 30TH AVE S, Moorhead, MN 56560

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA MAIER

Specialist