Jennifer Jacobson MSN Pmhnp-BC PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN 106778 AP1265 Issued in AZ

Legal business name

JENNIFER JACOBSON MSN PMHNP-BC PLLC

Practice address

6812 N. Oracle Road
Suite 114
Tucson, AZ 85704

Phone

(520) 219-0178

Fax

(520) 297-2242

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Jacobson, MSNNPI 1730114976

Title

Psychiatric Nurse Practitioner

Phone

(520) 870-9786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Jacobson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1730114976
  Medicare reassignment NPD Authorized official
• Bradley R Johnson

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1801959309
  NPD
• Benjamin Bushman, PHD

  • Psychologist
  • Tucson, AZ
  • NPI 1447337795
  NPD (past)
• Grace R Jasin, PHD

  • Psychologist
  • Tucson, AZ
  • NPI 1497832695
  NPD (past)
• Gail L Schwartz, MD

  • Specialist
  • Tucson, AZ
  • NPI 1013094218
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1861621831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 N. ORACLE ROAD",
            "address_2": "SUITE 114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-219-0178",
            "fax_number": "520-297-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 N. ORACLE ROAD",
            "address_2": "SUITE 114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-219-0178",
            "fax_number": "520-297-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER JACOBSON MSN PMHNP-BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "520-870-9786",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN 106778 AP1265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnna Lynn Jenkins, FNP-C
• Cory Michael Jenks, PHARMD
• Jenna Park DMD PLC
• Richard Dean Jennen, PSY.D.
• Jennifer a Mohr DDS PLLC (Mohr Smiles)
• Jennifer Lin M.D.
• Jennifer Parks, PLLC
• Jennifer Spera DDS PLLC
• Jennifer Valente Caywood OD LTD
• Andria Jill Jennings, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.