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Contact Information

SUSAN E JACOBSON, NP
3020 JAVIER RD
INOVA BEHAVIORAL HEALTH
FAIRFAX, VA22031-4609
 Phone: 703-289-7585
 Fax: 703-289-4612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

163WP0809X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SUSAN E JACOBSON · (Female)

NPI Number 1063541977
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/05/2007
Last updated 03/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0015000246
  • VA License # 001500246
  • VA License # 0024167284
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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