Trace, Jennifer Elaine

Trace, Jennifer Elaine is an individual health care provider with primary practice located at 6545 France Ave S Ste 210 , Edina MN 55435-2281. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Trace, Jennifer Elaine can be contacted via phone (952) 928-2900.

Contact Information

Primary practice address
6545 France Ave S Ste 210 Edina MN 55435-2281
Phone: (952) 928-2900
Fax: (952) 928-2944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 12200 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 12200 Minnesota

Profile Details

NPI number 1942758602
LBN Legal business name Trace, Jennifer Elaine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2016
Last updated Jan 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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