Individual
ELIZABETH JEANNE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3799
(651) 280-9565
Mailing address
1724 RIDGEWOOD AVE, WHITE BEAR LAKE, MN 55110-5835
(651) 402-4810
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2908
MN
Other
Enumeration date
05/04/2023
Last updated
02/08/2024
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