Search › Arkansas › 1041C0700X
Jasen Jacobsen
NPI 1659746618 · on the registry since 2015
Practice
- Address
- 2508 Se 20th St
Bentonville, AR 72712 - Phone
- (479) 273-9088
- Clinicians at this address
- 46
Additional practice sites
- 1680 N Fair Oaks Ave, Pasadena, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
104100000X - Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas