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Individual

MARIA SHIELA JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 MOUNTAIN ST, CARSON CITY, NV 89703-3848
(775) 781-0092
(800) 514-2257
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 781-0092
(800) 514-2257

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.014041
IL
363LF0000X
Family Nurse Practitioner
Primary
APRN815052
NV

Other

Enumeration date
06/06/2016
Last updated
01/28/2019
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