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Contact Information

REBECCA JACOBSON, FNP-C, CPNP-PC
1000 GRANBY PARK DRIVE SOUTH
GRANBY, CO80446
 Phone: 970-887-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA JACOBSON · (Female)

NPI # 1023191640
Status Active
Credentials FNP-C, CPNP-PC
Entity Individual
Enumeration date 10/24/2006
Last updated 01/31/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 168869
  • CO Medicaid 72428864
Hospital affiliation(s)
  • MIDDLE PARK MEDICAL CENTER - (Critical Access)
    214 S 4TH STREET
    KREMMLING, CO 80459
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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