Individual
MATTHEW JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
108 20TH STREET, TORRINGTON, WY 82440-2812
(307) 269-0947
Mailing address
108 20TH STREET, TORRINGTON, WY 82440-2812
(307) 269-0947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25098.1537
WY
Other
Enumeration date
08/08/2016
Last updated
04/05/2019
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