IndividualActive
Andre Jacobsen
NPI 1629574223 · Anesthesiology Physician · Anchorage, AK
Provider details
- NPI number
- 1629574223
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 200882 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3300 Providence Dr Ste 205
Anchorage, AK 99508-4620
Phone: (907) 561-1510
Approximate (ZIP-level) locationGet directions
Mailing address
3300 Providence Dr Ste 205
Anchorage, AK 99508-4620
Registry dates
- Enumerated
- 2018-04-03
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.