Individual
MS. ELLEN R JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-8573
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000019503
TN
207N00000X
Dermatology Physician
Primary
19503
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6049042
BCBS
TN
Enumeration date
05/19/2006
Last updated
06/17/2024
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