Kayla Marie Jacobson

NPI #1770304016 in Two Rivers, Wisconsin

Provider Information

NPI Number: 1770304016
Entity Type: Individual
Name: Kayla Marie Jacobson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 19, 2024
Last Updated: Mar 26, 2025

Practice Location

Address: 5300 MEMORIAL DR
City: Two Rivers
State: Wisconsin
ZIP Code: 54241-3923
Phone: (920) 793-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner	363L00000X	Primary

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