Jacob Andros, RN
Individual provider Active NPI Registered Nurse · Minneapolis, MN
NPI 1407701972 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1407701972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1996524 (MN)
- Practice address
- 1 Veterans Dr
Minneapolis, MN 55417-2309 - Phone
- (612) 725-2000
- NPI assigned
- Mar 2, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1996524 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1996524 | MN | Yes |
Addresses
Primary practice location
1 Veterans Dr
Minneapolis, MN 55417-2309
Mailing address
1 Veterans Dr
Minneapolis, MN 55417-2309
Phone (612) 725-2000
Other providers in Minneapolis, MN
- Andjela Andric
- Miranda Andrie
- Rachel Andrie
- Stephanie Rae Andrie
- Laura Andromalos
- Amy Rose Andrzejewski
- Andsdotter Charlotta Chartered
- Lisa Anenson
- Eric Anfinson
- Angel Care Assisted Living LLC
All providers in Minneapolis, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.