Individual
MEGAN EMILY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 N 1700 W, LAYTON, UT 84041-1140
(801) 773-7060
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
NUR-RN-LIC-49170
MT
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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