Provider Demographics
NPI:1699952986
Name:JARMAN, RACHAEL (MS, PA-C)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:JARMAN
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 LYNDALE AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1718
Mailing Address - Country:US
Mailing Address - Phone:882-901-2098
Mailing Address - Fax:
Practice Address - Street 1:5450 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-1718
Practice Address - Country:US
Practice Address - Phone:888-290-1209
Practice Address - Fax:833-973-3528
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10332363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant