Individual
REBECCA L JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11219-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487310108
—
WI
Enumeration date
11/17/2021
Last updated
06/22/2023
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