Individual
SHAWNYA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 DOGWOOD AVE, GRAFTON, ND 58237-1742
(701) 331-1939
Mailing address
113 DUNCAN AVE, MINTO, ND 58261
(701) 331-1939
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
54812
ND
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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