Individual
NOELLE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, PMHNP-C WHNP-BC
Contact information
Practice address
200 MAITLAND AVE APT 142, ALTAMONTE SPRINGS, FL 32701-5539
(206) 207-7547
(206) 339-1448
Mailing address
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0581
(206) 207-7547
(206) 339-1448
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
231955
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN-5219
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN9214204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104896769
NATIONAL CERTIFICATION CORPORATION (NCC) FOR WHNP-BC
—
01
—
11445
ACNM CERTIFICATION COUNCIL CERTIFIED NURSE MIDWIFE
—
05
—
259038700
—
FL
05
—
306777700
—
FL
01
—
PMH10240017
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS (AANP) FOR PMHNP-C
—
Enumeration date
06/22/2006
Last updated
05/20/2025
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