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Contact Information

TAWNIA L JACOBSON, APRN, CRNA
22 BRAMHALL ST
PORTLAND, ME04102-3175
 Phone: 203-623-2512
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for TAWNIA L JACOBSON · (Female)

NPI # 1366871782
Status Active
Credentials APRN, CRNA
Entity Individual
Enumeration date 11/06/2013
Last updated 02/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 5597
  • ME License # RNA223064
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
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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