Individual provider · Type 1 NPI

Stephanie Lynn Jacobson, NP

Family Nurse Practitioner · Portland, OR

NPI number 1962056556 Active

Practice location

5000 N Willamette Blvd
Portland, OR 97203-5798

Mailing address

1331 SW Carson St
Portland, OR 97219-4332

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X200842440RN (OR)
Family Nurse Practitioner Primary 363LF0000X202106433NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1962056556

Stephanie Lynn Jacobson, NP's National Provider Identifier is 1962056556, issued on Jul 31, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2021.