Individual
DR. JUDITH ANN JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 ROCKEFELLER AVE, EVERETT, WA 98201-1684
(425) 339-5424
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00023504
WA
207VG0400X
Gynecology Physician
23504
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014360
—
WA
Enumeration date
06/06/2006
Last updated
04/03/2017
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