Individual provider · Type 1 NPI

Carolyn Ann Jacobson, AGCNS-BC, APNP

Gerontology Clinical Nurse Specialist · Milwaukee, WI

NPI number 1508643131 Active

Practice location

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330

Fax (414) 649-5940

Specialties and licenses

TaxonomyCodeLicense
Gerontology Clinical Nurse Specialist 364SG0600X2020114847 (WI)
Gerontology Clinical Nurse Specialist 364SG0600X131768-30 (WI)
Gerontology Clinical Nurse Specialist Primary 364SG0600X12080-33 (WI)

Gerontology Clinical Nurse Specialist: Definition to come...

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About NPI 1508643131

Carolyn Ann Jacobson, AGCNS-BC, APNP's National Provider Identifier is 1508643131, issued on Sep 8, 2023. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 8, 2023.