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General NPI Number Information
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NPI Number | 1245459684
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Entity Type | Individual
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Provider Name | KRISTINE ELIZABETH JACOBSON APRN-CNS/CNP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 201 5TH ST NE STE 16
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City | BARBERTON
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State | OH
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Zip | 44203-3017
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Country | US
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Telephone | 330-615-3070
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Fax | 234-312-2427
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Provider Business Mailing Address
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Address Line | 1650 17TH ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1806
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Country | US
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Telephone | 330-322-0130
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | APRN.CNS.09037
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | APRN.CNS.09037
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN.CNP.0032224
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 364SN0800X
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Taxonomy Name | Neuroscience Clinical Nurse Specialist
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License Number | APRN.CNS.09037
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License Number State | OH
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