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Contact Information

JACQUELINE TINAJERO, PA-C
2620 EAGAN WOODS DR
EAGAN, MN55121-1138
 Phone: 651-968-5201
 Fax: 651-968-5903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACQUELINE TINAJERO · (Female)

NPI # 1508348244
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/29/2018
Last updated 01/30/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 12771
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • UNITED HOSPITAL - (Acute Care)
    333 NORTH SMITH AVENUE
    SAINT PAUL, MN 55102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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