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Contact Information

JENNIFER E TRACE, PA-C
6545 FRANCE AVE S STE 210
EDINA, MN55435-2281
 Phone: 952-928-2900
 Fax: 952-928-2944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER E TRACE · (Female)

NPI # 1942758602
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/12/2016
Last updated 01/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 12200
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
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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