Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN ANN JACOBSEN, M.S.
ActiveNutrition, Education · FAIR LAWN, NJ
Registration Details
- NPI Number
- 1912496142
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2018 (8.0083116930667 yrs)
- Last Updated
- Jun 16, 2018
Practice Information
- Address
-
17-12 HUNTER PLFAIR LAWN, NJ, 074105242Browse NJ providers · Browse ZIP 07410
- Phone
- 2016632530
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.