Individual
KRISTIAN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3015 N PENSTEMON ST, WICHITA, KS 67226-3903
(316) 260-4110
Mailing address
245 N WACO ST STE 220, WICHITA, KS 67202-1102
(316) 722-2138
(833) 464-2530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TMP-162073
KS
Other
Enumeration date
11/29/2023
Last updated
09/10/2025
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