Individual provider · Type 1 NPI
Ashley Marie Jacobson, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Grand Rapids, MI
NPI number
1306318498
Active
Practice location
4100 Lake Dr SE Ste D
Grand Rapids, MI 49546-8292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG09180029 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1306318498
Ashley Marie Jacobson, NURSE PRACTITIONER's National Provider Identifier is 1306318498, issued on Dec 30, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 30, 2018.