Jacobson, Jennifer

Jacobson, Jennifer is an individual health care provider with primary practice located at 6812 N Oracle Rd 114, Tucson AZ 85704-4246. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jacobson, Jennifer can be contacted via phone (520) 219-0178.

Contact Information

Primary practice address
6812 N Oracle Rd 114 Tucson AZ 85704-4246
Phone: (520) 219-0178
Fax: (520) 297-2242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 003070 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN 106778 AP1265 Arizona

Profile Details

NPI number 1730114976
LBN Legal business name Jacobson, Jennifer
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 12th, 2009 - about 16 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 1730114976 NPPES
Connecticut MEDICAID 004251542

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