Individual
BRILYN E JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
837 E BUCKHILL RD, FRESNO, CA 93720-0604
(747) 214-4399
Mailing address
724 POLLASKY AVE, CLOVIS, CA 93612-1840
(747) 214-4399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95034136
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
95034136
CA
Other
Enumeration date
03/04/2025
Last updated
01/06/2026
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