Individual
JACQUELINE A ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127-7135
(651) 968-5770
(651) 968-5775
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10479
MN
363AS0400X
Surgical Physician Assistant
Primary
10479
MN
Other
Enumeration date
08/11/2008
Last updated
08/30/2019
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