Individual
GRACE L JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3841 PIPER ST STE T100, ANCHORAGE, AK 99508-4674
(907) 561-3211
(907) 771-6715
Mailing address
3841 PIPER ST STE T100, ANCHORAGE, AK 99508-4674
(907) 550-2233
(907) 771-6715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
209899
AK
Other
Enumeration date
07/20/2020
Last updated
09/01/2023
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