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Contact Information

LAVONNE JACOBSEN, APRN, CNM
3208 AMBERWOOD CT
EDMOND, OK73003-2133
 Phone: 405-509-4661
 Fax: 800-865-6885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for LAVONNE JACOBSEN · (Female)

NPI # 1922265800
Status Active
Credentials APRN, CNM
Entity Individual
Enumeration date 05/19/2008
Last updated 07/08/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # NMW621
  • CA Other ZZZ37640Z BLUE SHIELD
  • CA Other NMW006210 MEDI-CAL
  • OK Other R 0101207 OKLAHOMA ADVANCED PRACTICE REGISTERED NURSE LICENSE
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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