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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB PLUMMER
NPI 1780514893
Student in an Organized Health Care Education/Training Program in Plymouth, MN

Active since May 20, 2026
1300 W MEDICINE LAKE DR APT 219, PLYMOUTH, MN 55441(763) 438-0065(763) 438-0065 Get Directions Write a Review

NPPES record added: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Plummer NPPES

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

JACOB PLUMMER (NPI 1780514893) is an individual student in an organized health care education/training program in Plymouth, Minnesota and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1780514893
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB PLUMMER
Location Address1300 W MEDICINE LAKE DR APT 219Plymouth, MN 55441-4855
Mailing Address1300 W Medicine Lake Dr Apt 219Plymouth, MN 55441-4855 · (763) 438-0065 · Fax (763) 438-0065
Phone(763) 438-0065
Fax(763) 438-0065
Sole ProprietorNo
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1780514893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 W MEDICINE LAKE DR APT 219, Plymouth, MN 55441
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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 Jacob Plummer's NPI number?

The NPI number for Jacob Plummer is 1780514893. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Jacob Plummer located?

Jacob Plummer practices at 1300 W Medicine Lake Dr Apt 219, Plymouth, MN 55441. The listed phone number is (763) 438-0065.

What is Jacob Plummer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Plummer was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.