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Jacob Kactus Lance

NPI 1801703913ActiveIndividual· Licensed Practical Nurse· Saint Cloud, MN

Licensed Practical Nurse in Saint Cloud, Minnesota, licensed in MN, with an NPI issued in August 2026.

Overview

NPI1801703913
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 25, 2026
Last updated in NPPESAug 25, 2026
Certified by providerAug 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary164W00000X827886MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Licensed Practical Nurse providers in Saint Cloud

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