Search › Minnesota › 103T00000X
Jackie Engebretson, PHD, LP
NPI 1134598667 · on the registry since 2015 · sole proprietor
Practice
- Address
- 7920 Old Cedar Ave S
Bloomington, MN 55425 - Phone
- (952) 428-1800
- Organisation at this address
- Allina Health System
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 54
Additional practice sites
- 3850 Park Nicollet Blvd, St Louis Park, MN
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC2200X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota