Most Relevant Information
Provider Data
| NPI Number: | 1003656018 |
| Provider Name: | MERILEE JACOBSON FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 347825 |
Most Important Dates
| Enumeration Date: | 05/28/2024 |
| Last Updated: | 06/19/2024 |
Provider Practice Location
404 CAMINO DEL RIO S STE 102
SAN DIEGO
CA
921083586
Practice Location Phone/Fax
| Phone: | 8003166314 |
| Fax: |
Provider Mailing Location
1055 N 500 W
ATTN CREDENTIALING
PROVO
UT
846043305
Provider Mailing Phone/Fax
| Phone: | 8013548225 |
| Fax: | 8014180941 |