Individual
JENNIFER JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E WASHINGTON ST, SUITE 2100, WEST BEND, WI 53095-2585
(262) 335-4583
(262) 335-6827
Mailing address
333 E WASHINGTON ST, SUITE 2100, WEST BEND, WI 53095-2585
(262) 335-4583
(262) 335-6827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
197214
WI
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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