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Organization

LUCAS JACOBSEN PSYCHIATRIC NURSING A PROFESSIONAL NURSING CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCAS JACOBSEN PMHNP-C (NURSE PRACTITIONER)
(858) 786-0875
Entity
Organization

Contact information

Practice address
462 STEVENS AVE STE 206, SOLANA BEACH, CA 92075-2065
(858) 786-0875
Mailing address
462 STEVENS AVE STE 206, SOLANA BEACH, CA 92075-2065

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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