Individual
JULIE ELIZABETH JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
24151 ROAD S.8, DOLORES, CO 81323-9135
(303) 919-6333
Mailing address
495 W 4TH ST, DOVE CREEK, CO 81324-4900
(970) 677-2291
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.0114961
CO
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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