Individual
AMANDA JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, RNC-OB
Contact information
Practice address
801 VILLA ST, ELGIN, IL 60120-8001
(630) 892-4355
Mailing address
801 VILLA ST, ELGIN, IL 60120-8001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041363348
IL
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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