Individual
STEPHANIE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
621 W BRANDON BLVD, BRANDON, FL 33511-5005
(813) 681-5702
(813) 653-2376
Mailing address
621 W BRANDON BLVD, BRANDON, FL 33511-5005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9313330
FL
Other
Enumeration date
01/05/2016
Last updated
02/02/2022
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