Individual provider · Type 1 NPI

Tiffany Nicole Jacobson, COSMETIC TATTOOER

Other Specialist/Technologist · Bowie, MD

NPI number 1609649466 Active

Practice location

12415 Quiet Owl Ln
Bowie, MD 20720-4304

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000X1236001387 (VA)

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

About NPI 1609649466

Tiffany Nicole Jacobson, COSMETIC TATTOOER's National Provider Identifier is 1609649466, issued on Nov 3, 2023. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Bowie, MD. The record was last updated on Nov 5, 2023.