Provider Demographics
NPI:1124301866
Name:JACOBSON, JULIE ANN (FNP-BC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:JACOBSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:JACOBSON-WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:WARDENBURG MEDICAL SERVICES
Mailing Address - Street 2:119 UCB ATTN: JULIE JACOBSON
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80309-0119
Mailing Address - Country:US
Mailing Address - Phone:734-972-4366
Mailing Address - Fax:303-492-1747
Practice Address - Street 1:UNIVERSITY OF COLORADO-BOULDER
Practice Address - Street 2:119 USB
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-0119
Practice Address - Country:US
Practice Address - Phone:412-623-6200
Practice Address - Fax:412-623-6023
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011548363L00000X
COAPN.00991193-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner