Jacobs, Victoria Eduardovna

Jacobs, Victoria Eduardovna is an individual health care provider with primary practice located at 817 W 700 S , Slc UT 84104-1405. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jacobs, Victoria Eduardovna can be contacted via phone (801) 712-8850.

Contact Information

Primary practice address
817 W 700 S Slc UT 84104-1405
Phone: (801) 712-8850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5142656-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5142656-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5142656-4405 Utah

Profile Details

NPI number 1730217167
LBN Legal business name Jacobs, Victoria Eduardovna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Dec 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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