SUSAN E. JACOBSON NP NPI 1063541977

NPI Information

NPI: 1063541977
Provider Name: SUSAN E. JACOBSON, NP
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
3020 JAVIER RD
INOVA BEHAVIORAL HEALTH
FAIRFAX, VA
ZIP 22031
Phone: (703) 289-7585
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Susan E. Jacobson, NP is a psychiatric/mental health and adult registered nurse in Fairfax, VA. Susan E. Jacobson, NP NPI is 1063541977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3020 JAVIER RD
INOVA BEHAVIORAL HEALTH
FAIRFAX, VA
ZIP 22031-609
Phone: (703) 289-7585
Fax: (703) 289-4612

The NPI 1063541977 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 3/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024167284	VIRGINIA	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	0015000246	VIRGINIA	No
3	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	001500246	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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