NPI 1023631124

Terrill Anastacia Jacobsen, CPSS

Practitioner Peer Specialist Kearney, NE

Practice location

Address: 3810 Central Ave, Kearney, NE 68847-8134
Phone: (308) 237-5951
Fax: (308) 237-5953
Mailing address: PO Box 1716, Kearney, NE 68848-1716

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CPSS-033 (NE)

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Registry record

NPI: 1023631124
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2020
Record last updated: 26 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.