Individual
MARTHA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1501 AIRPORT RD, 500 RIVERVIEW AVE., WAUKESHA, WI 53188-2461
(262) 970-6695
Mailing address
1254 HIGHPOINT LN, WAUKESHA, WI 53189-7739
(262) 970-6695
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
WI
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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