# JENNIFER JACOBSON MSN PMHNP-BC PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1861621831
- **Authorized official:** JENNIFER JACOBSON MSN (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (520) 870-9786

## Contact information

- **Practice address:** 6812 N. ORACLE ROAD, SUITE 114, TUCSON, AZ 85704
- **Practice address phone:** (520) 219-0178
- **Practice address fax:** (520) 297-2242
- **Mailing address:** 6812 N. ORACLE ROAD, SUITE 114, TUCSON, AZ 85704
- **Mailing address phone:** (520) 219-0178
- **Mailing address fax:** (520) 297-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN 106778 AP1265 | AZ | Yes |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 07/10/2009