Individual
JANE A JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10200 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-4743
(425) 525-6325
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60418464
WA
Other
Enumeration date
09/26/2013
Last updated
11/03/2016
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