Provider Demographics
NPI:1093177602
Name:KARPE, JACQUELINE JEANNE
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:JEANNE
Last Name:KARPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24069 RUM RIVER BLVD NW
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:MN
Mailing Address - Zip Code:55070-9605
Mailing Address - Country:US
Mailing Address - Phone:763-587-1903
Mailing Address - Fax:
Practice Address - Street 1:2406 RUM RIVER BLVD.
Practice Address - Street 2:
Practice Address - City:ST. FRANCIS
Practice Address - State:MN
Practice Address - Zip Code:55707
Practice Address - Country:US
Practice Address - Phone:763-587-1903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer