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Gary Jacobsen, FNP,ARNP
Family Nurse Practitioner in Ilwaco, Washington
NPI 1942235718

Gary Jacobsen is a Family Nurse Practitioner based in Ilwaco, WA and is specialized in Family. Gary Jacobsen practices in Ilwaco, WA and has the professional credentials of FNP,ARNP. The NPI Number for Gary Jacobsen is 1942235718 and holds a License No. 076035966N1 (Washington).

The current practice location address for Gary Jacobsen is 176 1St Ave. North, Ilwaco, WA and can be reached out via phone at 360-642-6316.

Location: 176 1St Ave. North, Ilwaco, WA, 98624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942235718
Provider Name
Gary Jacobsen
Credential
FNP,ARNP
Provider Entity Type
Individual
Gender
Male
Address
176 1St Ave. North, Ilwaco, WA, 98624
Phone Number
360-642-6316
Fax Number
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
283341 05 OR
institution
Provider Business Practice Location Address Details
Address
176 1St Ave. North
City
Ilwaco
State
Washington
Zip
98624
Phone Number
360-642-6316
Fax Number
person
Provider Business Mailing Address Details
Address
176 1St Ave. North
City
Ilwaco
State
Washington
Zip
98624
Phone Number
360-642-6316
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
076035966N1 (Oregon)
Definition
Definition to come...
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