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MR. MATTHEW JACQUES PT, DPT
NPI 1679975205
Specialist in Fargo, ND

Active since September 26, 2014
2400 32ND AVE S, FARGO, ND 58103(701) 234-8700 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Matthew Jacques Pt, Dpt NPPES

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

MR. MATTHEW JACQUES PT, DPT (NPI 1679975205) is an individual specialist in Fargo, North Dakota, licensed in North Dakota (1624) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1679975205
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. MATTHEW JACQUESCredential: PT, DPT
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing Address2400 32nd Ave SFargo, ND 58103-5800 · (701) 234-8700
Phone(701) 234-8700
Sole ProprietorNo
Enumeration DateSeptember 26, 2014
✔ NPI 1679975205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ND · 1624
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.
2400 32ND AVE S, Fargo, ND 58103
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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.

JASON C MYRMOE MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8779
DANA L STEGMILLER PA-C
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
DARSHAN SINGH KHANGURA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-7980
KIMBERLY CRANDALL RN, BSN, CDE
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2245
NAOMI SCHULDT DNP, APRN, FNP-C
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000
RANDALL A KENNINGER MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
JEFFREY ALLEN RONDEAU MD
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8880
JEAN PAUL ELIA MANSOUR APRN-CNP
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000

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 Matthew Jacques's NPI number?

The NPI number for Matthew Jacques is 1679975205. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Matthew Jacques located?

Matthew Jacques practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-8700.

What is Matthew Jacques's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Matthew Jacques was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.