1. Home
  2. Directory
  3. Minnesota
  4. Duluth
  5. Pediatrics
  6. NPI Profile

JACQUELYN DAWN WIERMAA
NPI 1366477929
Pediatrics - Pediatric Hematology-Oncology in Duluth, MN

Active since July 12, 2006
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Dawn Wiermaa NPPES

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

JACQUELYN DAWN WIERMAA (NPI 1366477929) is an individual pediatric hematology-oncology provider in Duluth, Minnesota, licensed in Minnesota (45160) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1366477929
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameJACQUELYN DAWN WIERMAA
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(218) 786-8364
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateMay 9, 2011
✔ NPI 1366477929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in MN · 45160
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
400 E 3RD ST, Duluth, MN 55805
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified830000302MN
Medicaid34219300WI
Medicare PIN830000302MN
Medicare UPINH62918
Medicaid087778600MN

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.

CHRISTIAN CONNER RN, CRNA
Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4150
JORDAN TICHENOR
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-3737
MOLLY B DWYER APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
AMY MARIE LARSON MD
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
BRUCE JAMES DERAUF
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
NIZAR NAJIB SALEH
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
DIANE MAE KOLQUIST
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
GINA MARIE SLIPKA-MARINOS
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Wiermaa's NPI number?

The NPI number for Jacquelyn Wiermaa is 1366477929. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Jacquelyn Wiermaa located?

Jacquelyn Wiermaa practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Jacquelyn Wiermaa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Wiermaa was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.