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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
Street Address |
17-12 HUNTER PL |
City | FAIR LAWN |
State | NJ |
Zip Code | 07410-5242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
Find all providers in zip 07410 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1033726658 | Linda Brooks | Nutritionist | 309 Morris Avenue, Suite F, Spring Lake, NJ 07762-1533 | 2020-09-28 |
1750995981 | Talia Benders | Nutritionist | 23 Wheeler St Fl 2, Montclair, NJ 07042-4603 | 2020-09-04 |
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 |
Find all providers with the same taxonomy |
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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.