Individual
DR. LYNNE MARIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, FNP-C
Contact information
Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
Mailing address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
107198
CO
363L00000X
Nurse Practitioner
Primary
NP10040
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107198
RN
CO
05
—
32658044
—
CO
Enumeration date
06/18/2009
Last updated
04/18/2025
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