Jacobsen, Jenessa

Jacobsen, Jenessa is an individual health care provider with primary practice located at 301 N Sidney Ave , Russellville AR 72801-4383. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Jacobsen, Jenessa can be contacted via phone (479) 890-5494.

Contact Information

Primary practice address
301 N Sidney Ave Russellville AR 72801-4383
Phone: (479) 890-5494
Fax: (479) 498-9665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Arkansas
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Arkansas

Profile Details

NPI number 1104298447
LBN Legal business name Jacobsen, Jenessa
Credentials RECOVERY ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2015
Last updated Dec 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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