Individual
PATRICIA A JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
502 MAIN ST, BLACK RIVER FALLS, WI 54615-1648
(715) 284-2003
(715) 284-2008
Mailing address
502 MAIN ST, BLACK RIVER FALLS, WI 54615-1648
(715) 284-2003
(715) 284-2008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
992
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43899100
—
WI
Enumeration date
07/10/2006
Last updated
08/19/2016
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