Individual
INGER JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2720 PLAZA DR, SUITE 2200, WAUSAU, WI 54401-4158
(715) 847-2311
Mailing address
2720 PLAZA DR, SUITE 2200, WAUSAU, WI 54401-4158
(715) 847-2311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202152
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43890100
—
WI
Enumeration date
08/29/2006
Last updated
05/01/2008
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