Individual
DANA LEIGH JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP-BC, ARNP
Contact information
Practice address
505 S 336TH ST STE 500, FEDERAL WAY, WA 98003-8300
(206) 962-3535
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60259242
WA
363LG0600X
Gerontology Nurse Practitioner
P60259242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077749
—
WA
Enumeration date
11/16/2011
Last updated
10/29/2019
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