Jane A Jacobson
Nurse Practitioner - Family Medicine
10200 Mukilteo Speedway
Mukilteo
, Washington 98275-4743
Jane A Jacobson
Nurse Practitioner - Family Medicine
10200 Mukilteo Speedway
Mukilteo
, Washington 98275-4743
(866) 747-2455
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Jane A Jacobson
- Po Box 3360
- Portland, OR
- Zip : 97208-3360
- Phone : (866) 747-2455
Second Address
- Jane A Jacobson
- 10200 Mukilteo Speedway
- Mukilteo, WA
- Zip : 98275-4743
- Phone : (425) 525-6325
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP60418464 | WA |
National Provider Identifier
| NPI | 1003243718 |
|---|---|
| Provider Name | Jane A Jacobson |
| First Address | Portland, OR 97208-3360 |
| Second Address | Mukilteo, WA 98275-4743 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2013 |
| Last Update Date | 03/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G8958813 | (02) | WA |
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.