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1073589834 NPI number — PAULA MARIE JACOBSEN APRN

NPI Number: 1073589834
Health Care Provider/Practitioner: PAULA MARIE JACOBSEN APRN

Information about “1073589834” NPI (PAULA MARIE JACOBSEN APRN) exists in 1073589834 in HTML format HTML  |  1073589834 in plain Text format TXT  |  1073589834 in PDF (Portable Document Format) PDF  |  1073589834 in an XML format XML  formats.

NPI Number : 1073589834 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073589834",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JACOBSEN",
    "FirstName": "PAULA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SANDERSON",
    "OtherFirstName": "PAULA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CNP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1020 LAKE SUMTER LNDG",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THE VILLAGES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32162-2699",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-674-8905",
    "MailingAddressFaxNumber": "352-674-8901",
    "FirstLinePracticeLocationAddress": "2955 BROWNWOOD BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THE VILLAGES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32163-2039",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "844-884-9355",
    "PracticeLocationAddressFaxNumber": "352-674-8714",
    "EnumerationDate": "02/23/2006",
    "LastUpdateDate": "08/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "CP000441",
          "LicenseNumberStateCode": "SD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "A-127382",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APRN11003740",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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