Jacobsen, Paula Marie

Jacobsen, Paula Marie is an individual health care provider with primary practice located at 1417 S. Cliff Ave. Ste. 401, Sioux Falls SD 57105-1064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacobsen, Paula Marie can be contacted via phone (605) 322-8920.

Contact Information

Primary practice address
1417 S. Cliff Ave. Ste. 401 Sioux Falls SD 57105-1064
Phone: (605) 322-8920
Fax: (605) 322-8919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000441 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-127382 Iowa

Profile Details

NPI number 1073589834
LBN Legal business name Jacobsen, Paula Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 30th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073589834 NPPES
North Dakota MEDICAID 12262
North Dakota Other 4992623
North Dakota Other 9237791
North Dakota Other 37L32SA
North Dakota MEDICAID 6828076
North Dakota Other 769201045265
North Dakota MEDICAID 102157
North Dakota Other 57105F019
North Dakota Other P00448581
North Dakota MEDICAID 0596684
North Dakota Other 37L32SA
North Dakota Other 1073589834

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