Individual
KAITLYN MARIE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
975 RYLAND ST STE 100, RENO, NV 89502-1669
(775) 982-4100
(775) 982-5225
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2704
NV
Other
Enumeration date
05/25/2022
Last updated
08/02/2024
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