IndividualActive
Jaclyn Jacobsen, M.S.
NPI 1912496142 · Nutrition Education Nutritionist · Fair Lawn, NJ
Provider details
- NPI number
- 1912496142
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
17-12 Hunter Pl
Fair Lawn, NJ 07410-5242
Phone: (201) 663-2530
Approximate (ZIP-level) locationGet directions
Mailing address
17-12 Hunter Pl
Fair Lawn, NJ 07410-5242
Registry dates
- Enumerated
- 2018-05-03
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.