Individual
ERNISE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 1ST AVE NE, BUFFALO, MN 55313-1568
(763) 682-3005
Mailing address
25 1ST AVE NE, BUFFALO, MN 55313-1568
(763) 682-3005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2462135
MN
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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