Individual
ELIZABETH COMFORT JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
(435) 333-1850
Mailing address
PO BOX 784, PARK CITY, UT 84060-0771
(435) 602-9757
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
10836421-4405
UT
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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