Individual provider · Type 1 NPI

Victoria Eduardovna Jacobs, NP

Psychiatric/Mental Health Nurse Practitioner · West Valley City, UT

NPI number 1730217167 Active

Practice location

3737 W 4100 S
West Valley City, UT 84120-5543

Mailing address

3725 W 4100 S
Salt Lake City, UT 84120-5411

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5142656-4405 (UT)
Family Nurse Practitioner 363LF0000X5142656-4405 (UT)
Nurse Practitioner 363L00000X5142656-4405 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1730217167

Victoria Eduardovna Jacobs, NP's National Provider Identifier is 1730217167, issued on Feb 28, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Valley City, UT. The record was last updated on Aug 13, 2026.