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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEIDI JACOBSON

Active Sole Proprietor

HEIDI JACOBSON is a Registered Nurse healthcare provider located in RIDGELAND, Wisconsin. NPI 1871962209 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · RIDGELAND, WI

Registration Details

NPI Number
1871962209
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2015 (10.936700534605 yrs)
Last Updated
Sep 16, 2015
License
122555-30 (WI)
Sole Proprietor
Yes

Practice Information

Address
E6487 1370TH AVE
RIDGELAND, WI, 547639439
Browse WI providers · Browse ZIP 54763
Phone
7157903457
Primary Specialty
Registered Nurse
163W00000X
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.