Mrs. Tami Janine Jacobson
Nurse Practitioner - Women's Health
1315 N Vallejo Way
Upland
, California 91786-3164
Mrs. Tami Janine Jacobson
Nurse Practitioner - Women's Health
1315 N Vallejo Way
Upland
, California 91786-3164
(909) 702-7081
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Mrs. Tami Janine Jacobson
- 1315 N Vallejo Way
- Upland, CA
- Zip : 91786-3164
- Phone : (909) 702-7081
Second Address
- Mrs. Tami Janine Jacobson
- 1315 N Vallejo Way
- Upland, CA
- Zip : 91786-3164
- Phone : (909) 702-7081
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Is Mrs. Tami Janine Jacobson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 11552 | CA |
National Provider Identifier
| NPI | 1093240491 |
|---|---|
| Provider Name | Mrs. Tami Janine Jacobson |
| First Address | Upland, CA 91786-3164 |
| Second Address | Upland, CA 91786-3164 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2017 |
| Last Update Date | 24/04/2017 |
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.