Individual
MS. SHELLEY ANN JACOBSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
255 SMITH AVE N, SUITE 100, SAINT PAUL, MN 55102-2572
(651) 292-0616
Mailing address
458 COLLEEN DR, VADNAIS HEIGHTS, MN 55127-7087
(651) 653-5217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 099055-0
MN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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