Individual
MONA PEARL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
0990301
CO
2084N0400X
Neurology Physician
0990301
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0990301-NP
CO
363LP0200X
Pediatric Nurse Practitioner
SNP 100038
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86608304
—
CO
Enumeration date
12/08/2006
Last updated
09/10/2024
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