Individual
LENA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
916 MESA ROJA TRL NE, RIO RANCHO, NM 87124-6389
(505) 514-1665
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
83731
NM
363LA2200X
Adult Health Nurse Practitioner
83731
NM
Other
Enumeration date
04/22/2025
Last updated
04/24/2025
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