IndividualActive
Alice Jacobson, PA-C
NPI 1952949240 · Physician Assistant · Cheyenne, WY
Provider details
- NPI number
- 1952949240
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT852 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
214 E 23rd St
Cheyenne, WY 82001-3748
Phone: (307) 634-2273
Approximate (ZIP-level) locationGet directions
Mailing address
306 E 18th St Apt 2
Cheyenne, WY 82001-4663
Registry dates
- Enumerated
- 2019-12-17
- Last updated
- 2019-12-17
- Certified
- 2019-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.