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Contact Information

HOLLY JACOBSEN
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO80906-7393
 Phone: 719-350-6830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for HOLLY JACOBSEN · (Female)

NPI Number 1710623327
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2022
Last updated 10/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # C-APN.0003978
  • CO License # C-APN.0003978-C-NP
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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