NPI 1205319225 · live from the CMS NPI Registry
Shelley Jean Jacobson
Registered Nurse, General Practice in Bowbells, ND. National Provider Identifier 1205319225, active.
NPI record
| NPI | 1205319225 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 6960 County Road 17, Bowbells, ND 58721 |
| Practice phone | 701-377-2122 |
| Enumerated | September 14, 2018 |
| Last updated | September 14, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R26493 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.