Peggy Elene Jacobsen in Midvale - Psychiatric/mental Health
Peggy Elene Jacobsen - NPI 1356311781
Peggy Elene Jacobsen is a Psychiatric/mental Health in Midvale, Utah. Peggy Elene Jacobsen practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Peggy Elene Jacobsen is 1356311781. The last update date is 2007-07-08.
Peggy Elene Jacobsen's current location address is 195 W 7200 S, Midvale, Utah. You can contact this provider via phone number 8015656900 and fax number 8015690899. The mailing address for Peggy Elene Jacobsen is 195 W 7200 S, Midvale, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Elene Jacobsen |
|---|---|
| Address | 195 W 7200 S, Midvale, Utah |
| Phone Number | 8015656900 |
| Fax Number | 8015690899 |
| Sole Proprietor | X |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1356311781 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 195 W 7200 S |
|---|---|
| City | Midvale |
| State | Utah (UT) |
| Post Code | 840473703 |
| Phone Number | 8015656900 |
| Fax Number | 8015690899 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 163Wp0808X |
| Licence No | 1927543102 |
|
Definition: A registered nurse who cares for patients with mental health disorders and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 942938348014 | UT | CHAMPUS | |
| 751659 | UT | DESERET MUTUAL | |
| 107032218101 | UT | INTERMTN. HEALTH CARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Peggy Elene Jacobsen by the Centers for Medicare & Medicaid Services?
The Peggy Elene Jacobsen has been assigned the NPI (National Provider Identifier) 1356311781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Peggy Elene Jacobsen's facilities are situated?
The facilities of Peggy Elene Jacobsen are physically located at the following address: 195 W 7200 S, Midvale, UT, 840473703.
What is Peggy Elene Jacobsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peggy Elene Jacobsen's specialized field of practice is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 163Wp0808X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356311781 to Peggy Elene Jacobsen?
The Centers for Medicare & Medicaid Services originally issued the 1356311781 to Peggy Elene Jacobsen on 2006-01-26.
As of what date were the Peggy Elene Jacobsen's details last updated?
The information pertaining to the Peggy Elene Jacobsen, including its address, specialty, and other details, was most recently updated on 2007-07-08.