Individual
MS. ELIZABETH JOAN JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Mailing address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA-967
ID
363AM0700X
Medical Physician Assistant
Primary
PA60259472
WA
Other
Enumeration date
11/01/2006
Last updated
06/11/2012
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