Individual provider · Type 1 NPI

Jason Robert Jacobson, APRN

Family Nurse Practitioner · Jacksonville, FL

NPI number 1104456565 Active

Practice location

12428 San Jose Blvd Ste 4
Jacksonville, FL 32223-8617

Fax (602) 708-5615

Mailing address

1119 Natures Hammock Rd N
St. Johns, FL 32259-2891

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X13915782-4405 (UT)
Nurse Practitioner 363L00000X870426 (NV)
Nurse Practitioner 363L00000XAC003602 (MD)
Nurse Practitioner 363L00000X294465 (AZ)
Nurse Practitioner 363L00000X0024193643 (VA)
Nurse Practitioner 363L00000XAP61509339 (WA)
Family Nurse Practitioner Primary 363LF0000XAPRN11003000 (FL)
Nurse Practitioner 363L00000XAPRN11003000 (FL)
Nurse Practitioner 363L00000X95032140 (CA)
Nurse Practitioner 363L00000X1170150 (TX)
Nurse Practitioner 363L00000X10020817 (OR)
Nurse Practitioner 363L00000X8155 (MN)
Nurse Practitioner 363L00000XF352405-01 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104456565

Jason Robert Jacobson, APRN's National Provider Identifier is 1104456565, issued on Jan 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 4, 2025.