Individual provider · Type 1 NPI

Miranda Jacobsen, PA STUDENT

Student in an Organized Health Care Education/Training Program · Kirkland, WA

NPI number 1376454827 Active

Practice location

6710 108th Ave NE
Kirkland, WA 98033-7050

Call (914) 815-1897 Map

Mailing address

49 Mountain Rd
Irvington, NY 10533-1405

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7 other providers at this address

Other student in an organized health care education/training program providers in Kirkland

See all in Kirkland →

About NPI 1376454827

Miranda Jacobsen, PA STUDENT's National Provider Identifier is 1376454827, issued on Sep 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kirkland, WA. The record was last updated on Sep 14, 2026.