IndividualActive
Carolyn Jacobson, AGCNS-BC, APNP
NPI 1508643131 · Gerontology Clinical Nurse Specialist · Milwaukee, WI
Provider details
- NPI number
- 1508643131
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGCNS-BC, APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2020114847 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone: (414) 649-6000
Fax: (414) 649-5940
Approximate (ZIP-level) locationGet directions
Mailing address
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Registry dates
- Enumerated
- 2023-09-08
- Last updated
- 2023-09-08
- Certified
- 2023-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.