Individual
SARA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
531 STEVENSON LN, TOWSON, MD 21286-7607
(410) 499-5629
Mailing address
4800 COYLE RD APT 510, OWINGS MILLS, MD 21117-5160
(410) 499-5629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R223165
MD
Other
Enumeration date
02/09/2021
Last updated
10/15/2021
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