Most Relevant Information
Provider Data
| NPI Number: | 1003243718 |
| Provider Name: | JANE A JACOBSON ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP60418464 |
Most Important Dates
| Enumeration Date: | 09/26/2013 |
| Last Updated: | 11/03/2016 |
Provider Practice Location
10200 MUKILTEO SPEEDWAY
MUKILTEO
WA
982754743
Practice Location Phone/Fax
| Phone: | 4255256325 |
| Fax: |
Provider Mailing Location
PO BOX 3360
PORTLAND
OR
972083360
Provider Mailing Phone/Fax
| Phone: | 8667472455 |
| Fax: |