Individual provider · NPI-1

Martha Jacobson, RN

Registered Nurse, Psych/Mental Health, Adult · Waukesha, WI

NPI number1952463440
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1952463440
Entity type
Individual (NPI-1)
Name
Martha Jacobson
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Dec 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult124952 -030WIYes

Practice location

1501 Airport Rd
500 Riverview Ave.
Waukesha, WI 53188-2461

Phone 262-970-6695

Mailing address

1254 Highpoint Ln
Waukesha, WI 53189-7739

Phone 262-970-6695

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse, Psych/Mental Health, Adult providers in Waukesha, WI