Individual
JESSICA MARIE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10818 ELM ST, OMAHA, NE 68144-4820
(402) 502-0617
Mailing address
10818 ELM ST, OMAHA, NE 68144-4820
(402) 502-0617
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
87138
NE
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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