Individual provider · Type 1 NPI

Dylan Scott Jacobsen, DO

Military Health Care Provider · Nellis Afb, NV

NPI number 1346092848 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Call (702) 653-2273 Map

Other practice locations

  • 1213 E Clay St, Richmond, VA 23298-5071 · (804) 828-0996

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XSL2481 (NV)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

883 other providers at this address

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About NPI 1346092848

Dylan Scott Jacobsen, DO's National Provider Identifier is 1346092848, issued on Apr 5, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Nellis Afb, NV. The record was last updated on Aug 25, 2026.