Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN S JACOBSON, NP
ActiveKEVIN S JACOBSON, NP is a Nurse Practitioner healthcare provider located in COOPERSTOWN, North Dakota. NPI 1528093077 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · COOPERSTOWN, ND
Registration Details
- NPI Number
- 1528093077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.071430138067 yrs)
- Last Updated
- May 23, 2012
- Licenses
-
R1561072 (MN)R27650 (ND)
Practice Information
- Address
-
1200 ROBERTS AVE NECOOPERSTOWN MEDICAL CENTERCOOPERSTOWN, ND, 584257101Browse ND providers · Browse ZIP 58425
- Phone
- 7017972128
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.