Individual provider · Type 1 NPI
Lana Rae Jacobson, FAMILY NURSE PRACTIT
Family Nurse Practitioner · Grand Rapids, MN
NPI number
1275883266
Active
Practice location
1401 NW 9th Street
Grand Rapids, MN 55744
Mailing address
1542 Golf Course Rd Ste 203
Grand Rapids, MN 55744-3557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 120342-4 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | 0257857-22 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275883266
Lana Rae Jacobson, FAMILY NURSE PRACTIT's National Provider Identifier is 1275883266, issued on Sep 17, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MN. The record was last updated on Oct 26, 2020.