JACLYN ANN JACOBSEN


Address: 17-12 Hunter Pl, Fair Lawn, NJ 07410-5242
Phone: 2016632530

JACLYN ANN JACOBSEN (NPI# 1912496142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912496142
Entity Type Individual
Full Name JACLYN ANN JACOBSEN
Credential M.S.
Practice Address 17-12 Hunter Pl
Fair Lawn
NJ 07410-5242
Practice Telephone 2016632530
Mailing Telephone 2016632530
Enumeration Date 2018-05-03
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers

Office Location

Street Address 17-12 HUNTER PL
City FAIR LAWN
State NJ
Zip Code 07410-5242

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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1407469331 Matthew Luongo Nutritionist 901 Madison St Apt 3b, Hoboken, NJ 07030-6434 2020-08-29
1194343616 Robyn Ziemba Nutritionist 61 Adams Dr, Cresskill, NJ 07626-1727 2020-07-10
1336768704 Theresa Rielly Nutritionist 1190 Old Freehold Rd, Toms River, NJ 08753-5258 2020-04-15
1427683192 Teaching Fenix Rdn Cafe LLC Nutritionist 90 E Halsey Rd, St308, Parsippany, NJ 07054-3713 2020-03-03
1629608815 Jessica Groff Nutritionist 62 Seminole Ave, Oakland, NJ 07436-2926 2020-01-16
1497312946 Anita Christina Jalloh Nutritionist 120 Farm Ln, Bound Brook, NJ 08805-1414 2019-05-21
1104325497 Jeannine Marie Remcnamara Nutritionist 40 Dewey Ave, Colonia, NJ 07067-2015 2018-02-02
1689182248 Kate Hope Nutritionist 70 Norse Dr, Howell, NJ 07731-8732 2018-01-17
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Competitor

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City FAIR LAWN
Zip Code 07410

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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