NPI 1497802920 KIPPEN MARSHALL JACOBSON NP C GLENNALLEN AK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kippen Marshall Jacobson - NPI: 1497802920

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KIPPEN MARSHALL JACOBSON
NPI Number: 1497802920
Entity Type Code: Individual (1)
Gender: M
Credentials: NP C
License Number: 960
Business Practice Address: Mile 187 Glenn Hwy
Glennallen, AK - 995880589
Business Phone Number: 9078223203
Business Fax Number: 9078225805
Mailing Address: Po Box 5,
GLENNALLEN
State: AK
Postal Code: 995880589
Phone Number: 9078223203
Fax Number: 9078225805
NPI Enumeration Date: 01/05/2007
NPI Last Update Date: 11/11/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 960
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AK
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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