Individual
JOSHUA J JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2121
Mailing address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1748617
MN
Other
Enumeration date
10/28/2015
Last updated
11/25/2020
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