NPIRadar

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

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