Individual
MARY KAY JACOBSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2000 NAVY PENTAGON, WASHINGTON, DC 20350-2000
(703) 614-2366
Mailing address
320 23RD STREET SOUTH, APT. 901, ARLINGTON, VA 22202-3761
(703) 418-2392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3100292
FL
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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