MS. KRISTINE ELIZABETH JACOBSON RN MSN CCNS NPI 1245459684

NPI Information

NPI: 1245459684
Provider Name: MS. KRISTINE ELIZABETH JACOBSON, RN, MSN, CCNS
Classification: Clinical Nurse Specialist - 364SA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1761 BEALL AVE
WOOSTER, OH
ZIP 44691
Phone: (330) 263-8265
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MS. Kristine Elizabeth Jacobson, RN, MSN, CCNS is an acute care clinical nurse specialist in Wooster, OH with 18 years of experience. MS. Kristine Elizabeth Jacobson, RN, MSN, CCNS NPI is 1245459684. 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:

1761 BEALL AVE
WOOSTER, OH
ZIP 44691-342
Phone: (330) 263-8265

The NPI 1245459684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/7/2023.

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	364SA2100X	Clinical Nurse Specialist	Acute Care	APRN.CNS.09037	OHIO	No
2	364SC0200X	Clinical Nurse Specialist	Critical Care Medicine	NS 09037	OHIO	No
3	364SN0800X	Clinical Nurse Specialist	Neuroscience	NS 09037	OHIO	No
4	364SA2100X	Clinical Nurse Specialist	Acute Care	NS 09037	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NS 09037	OTHER	OHIO	CERTIFICATE OF AUTHORITY
2	RN 301174	OTHER	OHIO	RN LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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