Individual
TAMARA JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
164100-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-04167
MEDICA
MN
01
—
132582
UCARE
MN
01
—
573T9JA
BCBS
MN
01
—
HP48978
HEALTH PARTNERS
MN
01
—
NA9021042565
PREFERRED ONE
MN
Enumeration date
03/24/2006
Last updated
07/13/2026
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