Individual
MELISSA A JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1414 3RD AVE, NEBRASKA CITY, NE 68410-1932
(308) 850-0344
Mailing address
1414 3RD AVE, NEBRASKA CITY, NE 68410-1932
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
62594
NE
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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