# JULIE JACOBSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477942290
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA.200862 | LA | Yes |
| 363AM0700X | Medical Physician Assistant | 7398 | GA | — |

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 10/31/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07708858 | — | MS |
| 05 | — | 2426125 | — | LA |