Individual
MRS. NICOLE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SOUTH ST, GRETNA, NE 68028-7865
(402) 332-3048
Mailing address
20019 COVINGTON CIR, GRETNA, NE 68028-5768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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