Individual
CAROLYN ANN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC, APNP
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-5940
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-5940
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
12080-33
WI
364SG0600X
Gerontology Clinical Nurse Specialist
131768-30
WI
364SG0600X
Gerontology Clinical Nurse Specialist
2020114847
WI
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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