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General NPI Number Information
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NPI Number | 1942246392
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Entity Type | Individual
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Provider Name | NOELLE JACOBSEN CNM, PMHNP-C WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 200 MAITLAND AVE APT 142
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5539
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Country | US
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Telephone | 206-207-7547
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Fax | 206-339-1448
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0581
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Country | US
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Telephone | 206-207-7547
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Fax | 206-339-1448
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-5219
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9214204
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 231955
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License Number State | AK
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