SearchKansas207Q00000X

Jamie Jacobsen, D.O

NPI 1669447330 · on the registry since 2006

Practice

Address
11400 158th Rd
Mayetta, KS 66509
Phone
(785) 966-8200
Fax
(785) 966-8393
Organisation at this address
Prairie Band Potawatomi Nation
Prairie Band Potawatomi Nation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Additional practice sites

  • 1117 Goldfinch Rd, Horton, KS

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
111N00000X
207P00000X
207Q00000X
390200000X
Licence states on file
KS, OK
From the registry's licence fields, which are often incomplete.
Sex
Female
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 Kansas