Individual
DR. JOHN R JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 W 48TH ST STE 28, KEARNEY, NE 68845-1314
(308) 708-7631
(308) 708-7635
Mailing address
416 W 48TH ST STE 28, KEARNEY, NE 68845-1314
(402) 769-8456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21781
NE
Other
Enumeration date
07/26/2006
Last updated
03/27/2020
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