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Mrs. Peggy Elene Jacobsen, RN
Psychiatric/Mental Health Registered Nurse in Midvale, Utah
NPI 1356311781

Peggy Elene Jacobsen is a Psychiatric/Mental Health Registered Nurse based in West Jordan, UT and is specialized in Psychiatric/Mental Health. Peggy Elene Jacobsen practices in Midvale, UT and has the professional credentials of RN. The NPI Number for Peggy Elene Jacobsen is 1356311781 and holds a License No. 1927543102 (Utah).

The current practice location address for Peggy Elene Jacobsen is 195 W 7200 S, Midvale, UT and can be reached out via phone at 801-565-6900 and via fax at 801-569-0899.

Location: 195 W 7200 S, Midvale, UT, 84084-3114
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Provider Profile Details
NPI Number
1356311781
Provider Name
Peggy Elene Jacobsen
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
195 W 7200 S, Midvale, UT, 84084-3114
Phone Number
801-565-6900
Fax Number
801-569-0899
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
942938348014 01 UT CHAMPUS
751659 01 UT DESERET MUTUAL
107032218101 01 UT INTERMTN. HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
195 W 7200 S
City
State
Zip
84047-3703
Phone Number
801-565-6900
Fax Number
801-569-0899
person
Provider Business Mailing Address Details
Address
195 W 7200 S
City
State
Zip
84047-3703
Phone Number
801-565-6900
Fax Number
801-569-0899
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
1927543102 (Utah)
Definition
Definition to come...
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