Individual
JESSICA P JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1630 S 70TH ST STE 202, LINCOLN, NE 68506-1500
(531) 254-5458
(531) 254-5065
Mailing address
1630 S 70TH ST STE 202, LINCOLN, NE 68506-1500
(402) 890-6249
(531) 254-5065
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
2369
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017014908
OTOLARYNGOLOGY, COSMETIC SURGERY
MO
01
—
2369
OTOLARYNGOLOGY, COSMETIC SURGERY
NE
Enumeration date
04/13/2015
Last updated
02/10/2022
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