Allysa Jacobson
Nurse Practitioner - Psychiatric/Mental Health
3366 Oakdale Ave N
Robbinsdale
, Minnesota 55422-2948
Allysa Jacobson
Nurse Practitioner - Psychiatric/Mental Health
3366 Oakdale Ave N
Robbinsdale
, Minnesota 55422-2948
(971) 330-9045
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Allysa Jacobson
- 6295 86th St Ne
- Monticello, MN
- Zip : 55362-4631
- Phone : (971) 330-9045
Second Address
- Allysa Jacobson
- 3366 Oakdale Ave N
- Robbinsdale, MN
- Zip : 55422-2948
- Phone : (763) 581-5372
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 8967 | MN |
National Provider Identifier
| NPI | 1033862107 |
|---|---|
| Provider Name | Allysa Jacobson |
| First Address | Monticello, MN 55362-4631 |
| Second Address | Robbinsdale, MN 55422-2948 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2022 |
| Last Update Date | 30/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.