# LUCAS JACOBSEN PSYCHIATRIC NURSING A PROFESSIONAL NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790612497
- **Authorized official:** LUCAS JACOBSEN PMHNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (858) 786-0875

## Contact information

- **Practice address:** 462 STEVENS AVE STE 206, SOLANA BEACH, CA 92075-2065
- **Practice address phone:** (858) 786-0875
- **Mailing address:** 462 STEVENS AVE STE 206, SOLANA BEACH, CA 92075-2065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2026
- **Last updated:** 05/06/2026