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NPI Code Detail

MEDICARE: ERIN ALANE JACOBSON ARNP

MEDICARE: ERIN ALANE JACOBSON ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN00074045WA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP30004784WA

General Provider Information

NPI Number : 1033118344
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ALANE JACOBSON ARNP
Provider Business Mailing Address
First Line : 6212 75TH ST W
Second Line :
City : LAKEWOOD
State : WA
Zip : 98499-8368
Country : US
Telephone Number : 253-983-8507
Fax Number : 253-983-8576
Provider Business Practice Location Address
First Line : 6212 75TH ST W
Second Line :
City : LAKEWOOD
State : WA
Zip : 98499-8368
Country : US
Telephone Number : 253-983-8507
Fax Number : 253-983-8576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/21/2022

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Directions to “ ERIN ALANE JACOBSON ARNP” Practice Location

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