Rebecca Jacobson
Nurse Practitioner - Pediatrics Nurse Practitioner - Family Medicine
1000 Granby Park Drive South
Granby
, Colorado 80446
Rebecca Jacobson
Nurse Practitioner - Pediatrics Nurse Practitioner - Family Medicine
1000 Granby Park Drive South
Granby
, Colorado 80446
(970) 887-5800
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Rebecca Jacobson
- Po Box 1169
- Granby, CO
- Zip : 80446-1169
- Phone : (970) 887-5800
Second Address
- Rebecca Jacobson
- 1000 Granby Park Drive South
- Granby, CO
- Zip : 80446
- Phone : (970) 887-5800
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 168869 | CO |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 168869 | CO |
National Provider Identifier
| NPI | 1023191640 |
|---|---|
| Provider Name | Rebecca Jacobson |
| First Address | Granby, CO 80446-1169 |
| Second Address | Granby, CO 80446 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 31/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 72428864 | (05) | CO |
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.