Individual provider · Type 1 NPI

Kathy Lanae Jacobs, RN

Family Nurse Practitioner · Layton, UT

NPI number 1639909773 Active

Practice location

425 S 100 W
Layton, UT 84041-5356

Mailing address

619 E 2475 N
North Ogden, UT 84414-2824

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9796796-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1639909773

Kathy Lanae Jacobs, RN's National Provider Identifier is 1639909773, issued on Aug 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Layton, UT. The record was last updated on Jul 29, 2026.