Individual
JESSIE MAE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1536 HEWITT AVE, SAINT PAUL, MN 55104-1205
(218) 409-8759
Mailing address
7307 BRUNSWICK AVE N, BROOKLYN PARK, MN 55443-2914
(218) 409-8759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3635
MN
Other
Enumeration date
05/13/2020
Last updated
08/14/2025
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