# DR. KRISTIN A JACOBSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477548493
- **Gender:** F
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC010645 | PA | Yes |
| 111N00000X | Chiropractor | X009480 | NY | — |

## Other

- **Enumeration date:** 09/15/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 16157459602 | PRISM - UNIVERA ONLY | — |
| 01 | — | 350051643 | RR MEDICARE | — |
| 01 | — | 829106 | EMPIRE INS CO MPN | NY |
| 01 | — | 8890408 | INDEPENDENT HEALTH ASSO | NY |