Individual
MRS. JENNA ELIZABETH JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
675 WHITE ASH DR, LANGHORNE, PA 19047-8026
(215) 630-9122
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP018348
PA
Other
Enumeration date
12/14/2017
Last updated
09/03/2022
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