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General NPI Number Information
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NPI Number | 1558214734
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Entity Type | Individual
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Provider Name | ASHLEE ELIZABETH JACOBSON RN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 3320 PETERSON RD STE 101
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City | LAWRENCE
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State | KS
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Zip | 66049-1739
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Country | US
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Telephone | 785-727-7760
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Fax | 785-409-6292
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Provider Business Mailing Address
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Address Line | 3320 PETERSON RD STE 101
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City | LAWRENCE
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State | KS
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Zip | 66049-1739
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Country | US
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Telephone | 785-727-7760
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Fax | 785-409-6292
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 13-148743-092
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License Number State | KS
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