| NPI | 1710623327 |
|---|---|
| Professional Name | HOLLY JACOBSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0003978-C-NP) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: CO C-APN.0003978-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003978) | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-10-11 |