NPI 1528093077

Kevin S Jacobson, NP

Practitioner Nurse Practitioner Cooperstown, ND

Practice location

Address: 1200 Roberts Ave NE Cooperstown Medical Center, Cooperstown, ND 58425-7101
Phone: (701) 797-2128

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence R27650 (ND)

Other Nurse Practitioner providers in North Dakota →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence R1561072 (MN)

Registry record

NPI: 1528093077
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 23 May 2012

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.