Jace Douglas Jacobsen Valid NPI
Individual provider · Certified Registered Nurse Anesthetist · Huntington Beach, CA
- NPI
- 1871116004
- Type
- Individual (Type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 367500000X
- License number
- 95001352 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-05-21
- Last updated
- 2023-10-12
Practice location
6442 Gloria Dr
Huntington Beach, CA 92647-4226
(805) 814-2463