Individual provider · Type 1 NPI
Christina Anne Jacobson, PA-C
Medical Physician Assistant · New Haven, CT
NPI number
1972197556
Active
Practice location
20 York St - CB2041
New Haven, CT 06510
Fax (203) 688-4740
Mailing address
20 York Street, CB-329
New Haven, CT 06510-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5154 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1972197556
Christina Anne Jacobson, PA-C's National Provider Identifier is 1972197556, issued on Feb 24, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Jun 1, 2021.