Jacobson, Kristine Elizabeth

Jacobson, Kristine Elizabeth is an sole proprietor health care provider with primary practice located at 1761 Beall Ave , Wooster OH 44691-2342. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Neuroscience. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Jacobson, Kristine Elizabeth can be contacted via phone (330) 263-8265.

Contact Information

Primary practice address
1761 Beall Ave Wooster OH 44691-2342
Phone: (330) 263-8265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X APRN.CNS.09037 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X NS 09037 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Neuroscience 364SN0800X NS 09037 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X NS 09037 Ohio

Profile Details

NPI number 1245459684
LBN Legal business name Jacobson, Kristine Elizabeth
Credentials RN, MSN, CCNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245459684 NPPES
Ohio Other NS 09037 CERTIFICATE OF AUTHORITY
Ohio Other RN 301174 CERTIFICATE OF AUTHORITY

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