person
Mr. Chad Lawrence Jacobs, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Mountlake Terrace, Washington
NPI 1336783893

Chad Lawrence Jacobs is a Psychiatric/Mental Health Nurse Practitioner based in Everett, WA and is specialized in Psychiatric/Mental Health. Chad Lawrence Jacobs practices in Mountlake Terrace, WA and has the professional credentials of PMHNP. The NPI Number for Chad Lawrence Jacobs is 1336783893 and holds a License No. 11004760 (Washington).

The current practice location address for Chad Lawrence Jacobs is 21907 64Th Ave W Ste 200, Mountlake Terrace, WA and can be reached out via phone at 317-695-8041.

Location: 21907 64Th Ave W Ste 200, Mountlake Terrace, WA, 98201-3161
person
Provider Profile Details
NPI Number
1336783893
Provider Name
Chad Lawrence Jacobs
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
21907 64Th Ave W Ste 200, Mountlake Terrace, WA, 98201-3161
Phone Number
317-695-8041
Fax Number
Provider Enumeration Date
10/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21907 64Th Ave W Ste 200
City
State
Zip
98043-6200
Phone Number
317-695-8041
Fax Number
person
Provider Business Mailing Address Details
Address
21907 64Th Ave W Ste 200
City
State
Zip
98043-6200
Phone Number
317-695-8041
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11004760 (Florida)
Definition
Definition to come...
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