Individual
HOLLY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 TENDERFOOT HILL RD STE 255, COLORADO SPRINGS, CO 80906-7393
(719) 350-6830
Mailing address
1230 TENDERFOOT HILL RD STE 255, COLORADO SPRINGS, CO 80906-7393
(719) 350-6830
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
C-APN.0003978-C-NP
CO
363L00000X
Nurse Practitioner
Primary
C-APN.0003978-C-NP
CO
363LF0000X
Family Nurse Practitioner
C-APN.0003978
CO
Other
Enumeration date
05/06/2022
Last updated
10/11/2022
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