Individual
ELIZABETH A JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8111 DODGE ST, SUITE 363, OMAHA, NE 68114-4129
(402) 354-8155
(402) 354-8159
Mailing address
8111 DODGE ST, SUITE 363, OMAHA, NE 68114-4129
(402) 354-8155
(402) 354-8159
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1569
NE
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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