NPI 1063541977

Susan E. Jacobson, NP

Practitioner Adult Psychiatric/Mental Health Registered Nurse Fairfax, VA

Practice location

Address: 3020 Javier Rd Inova Behavioral Health, Fairfax, VA 22031-4609
Phone: (703) 289-7585
Fax: (703) 289-4612
Mailing address: 4131 Evergreen Dr, Fairfax, VA 22032-1018

Registered specialties (3)

Adult Psychiatric/Mental Health Registered Nurse Primary

Nursing Service Providers Taxonomy 163WP0809X Licence 001500246 (VA)

Other Registered Nurse providers in Virginia →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 0024167284 (VA)

Other Nurse Practitioner providers in Virginia →

Adult Psychiatric/Mental Health Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence 0015000246 (VA)

Other Clinical Nurse Specialist providers in Virginia →

Registry record

NPI: 1063541977
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2007
Record last updated: 9 Mar 2011

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.