Individual provider · Type 1 NPI

Kayla Marie Jacobson

Nurse Practitioner · Marinette, WI

NPI number 1770304016 Active

Practice location

4061 Old Peshtigo Rd
Marinette, WI 54143-3887

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X23535830 (WI)
Nurse Practitioner Primary 363L00000X16541 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

46 other providers at this address

Other nurse practitioner providers in Marinette

See all in Marinette →

About NPI 1770304016

Kayla Marie Jacobson's National Provider Identifier is 1770304016, issued on Oct 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marinette, WI. The record was last updated on Aug 17, 2026.