Jacobson, Rebecca

Jacobson, Rebecca is an individual health care provider with primary practice located at 1000 Granby Park Drive South , Granby CO 80446. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Jacobson, Rebecca can be contacted via phone (970) 887-5800.

Contact Information

Primary practice address
1000 Granby Park Drive South Granby CO 80446
Phone: (970) 887-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 168869 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 168869 Colorado

Profile Details

NPI number 1023191640
LBN Legal business name Jacobson, Rebecca
Credentials FNP-C, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jan 31st, 2020 - about 5 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 1023191640 NPPES
Colorado MEDICAID 72428864

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