Individual
JENNIFER JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6812 N ORACLE RD, 114, TUCSON, AZ 85704-4246
(520) 219-0178
(520) 297-2242
Mailing address
6812 N ORACLE RD, 114, TUCSON, AZ 85704-4246
(520) 219-0178
(520) 297-2242
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
003070
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN 106778 AP1265
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004251542
—
CT
Enumeration date
07/12/2006
Last updated
07/12/2009
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