# DR. RONI MARIE JACOBSEN

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

## Provider details

- **NPI number:** 1700047131
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 70805 | AZ | — |
| 207RA0002X | Adult Congenital Heart Disease Physician | DR.0058703 | CO | Yes |
| 208000000X | Pediatrics Physician | 57002 | WI | — |
| 2080P0202X | Pediatric Cardiology Physician | DR.0058703 | CO | — |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 10/06/2020