Jacobson, Susan E.

Jacobson, Susan E. is an individual health care provider with primary practice located at 3020 Javier Rd Inova Behavioral Health, Fairfax VA 22031-4609. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Jacobson, Susan E. can be contacted via phone (703) 289-7585.

Contact Information

Primary practice address
3020 Javier Rd Inova Behavioral Health Fairfax VA 22031-4609
Phone: (703) 289-7585
Fax: (703) 289-4612
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 001500246 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024167284 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 0015000246 Virginia

Profile Details

NPI number 1063541977
LBN Legal business name Jacobson, Susan E.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Mar 9th, 2011 - about 13 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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