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Kippen Marshall Jacobson, NPC
Family Nurse Practitioner in Glennallen, Alaska
NPI 1497802920

Kippen Marshall Jacobson is a Family Nurse Practitioner based in Glennallen, AK and is specialized in Family. Kippen Marshall Jacobson practices in Glennallen, AK and has the professional credentials of NPC. The NPI Number for Kippen Marshall Jacobson is 1497802920 and holds a License No. 960 (Alaska).

The current practice location address for Kippen Marshall Jacobson is Mile 187 Glenn Hwy, Glennallen, AK and can be reached out via phone at 907-822-3203 and via fax at 907-822-5805. You can also correspond with Kippen Marshall Jacobson through the mailing address at PO BOX 5, GLENNALLEN, AK - 99588-0589 (mailing address contact number: 907-822-3203).

Location: Mile 187 Glenn Hwy, Glennallen, AK, 99588-0589
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Provider Profile Details
NPI Number
1497802920
Provider Name
Kippen Marshall Jacobson
Credential
NPC
Provider Entity Type
Individual
Gender
Male
Address
Mile 187 Glenn Hwy, Glennallen, AK, 99588-0589
Phone Number
907-822-3203
Fax Number
907-822-5805
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497802920 01 AK NPI NUMBER
K161914 01 AK MEDICARE PTAN
RH047FQ 05 AK
institution
Provider Business Practice Location Address Details
Address
Mile 187 Glenn Hwy
City
State
Zip
99588-0589
Phone Number
907-822-3203
Fax Number
907-822-5805
person
Provider Business Mailing Address Details
Address
Po Box 5
City
State
Zip
99588-0589
Phone Number
907-822-3203
Fax Number
907-822-5805
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
960 (Alaska)
Definition
Definition to come...
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