Individual
LINDA A JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
451 STATE ST, NORTH HAVEN, CT 06473-3019
(203) 248-8888
(203) 248-8889
Mailing address
451 STATE ST, NORTH HAVEN, CT 06473-3019
(203) 248-8888
(203) 248-8889
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000895
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008035017
—
CT
Enumeration date
12/21/2006
Last updated
12/08/2011
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