Individual
SHELLEY JEAN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6960 COUNTY ROAD 17, BOWBELLS, ND 58721-9418
(701) 377-2122
(701) 377-2122
Mailing address
6960 COUNTY ROAD 17, BOWBELLS, ND 58721-9418
(701) 377-2122
(701) 377-2122
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R26493
ND
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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