Alicia May Jacobson, llpn
Licensed Practical Nurse in Vancouver, WA. Individual provider (NPI-1).
NPI number1013553643
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1013553643
- Entity type
- Individual (NPI-1)
- Name
- Alicia May Jacobson
- Credential
- llpn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 60837151 | WA | Yes |
Other names
- Alicia Jacobson (Former Name)
Practice location
1601 E 4th Plain Blvd Bldg 17Vancouver, WA 98661-3717
Phone 360-397-8246
Mailing address
1010 W McLoughlin BlvdVancouver, WA 98660-2314
Phone 360-566-3254
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All 102 Licensed Practical Nurse providers in Vancouver · All 12,887 providers in Vancouver
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