| Mrs Peggy Elene Jacobsen, RN | |
|
195 W 7200 S, Midvale, UT 84047-3703 | |
| (801) 565-6900 | |
| (801) 569-0899 |
| Full Name | Mrs Peggy Elene Jacobsen |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 195 W 7200 S, Midvale, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356311781 | NPI | - | NPPES |
| 942938348014 | Other | UT | CHAMPUS |
| 751659 | Other | UT | DESERET MUTUAL |
| 107032218101 | Other | UT | INTERMTN. HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 1927543102 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Peggy Elene Jacobsen, RN 7454 S 2405 W, West Jordan, UT 84084-3114 Ph: (801) 563-0998 | Mrs Peggy Elene Jacobsen, RN 195 W 7200 S, Midvale, UT 84047-3703 Ph: (801) 565-6900 |
Mrs. Sydna K Freeman, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7434 S State St, Midvale, UT 84047 Phone: 801-566-4423 | |
Ms. Peggy B Van Dam, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 195 W 7200 S, Midvale, UT 84047 Phone: 801-565-6998 Fax: 801-565-6982 | |
Andy Jay Edwards, MSN, APRN, FNP-C Registered Nurse Medicare: Medicare Enrolled Practice Location: 7050 Union Park Center, #200, Midvale, UT 84047 Phone: 888-562-5442 Fax: 562-499-6171 | |
Mr. Markus Paul Ehrlich, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 195 W 7200 S, Midvale, UT 84047 Phone: 801-565-6998 Fax: 801-565-6982 | |
Randel Brooks, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1023 Soho Dr, Midvale, UT 84047 Phone: 202-841-6837 | |
Ms. Pamela Anne Molen, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7575 S 900 E, Midvale, UT 84047 Phone: 801-208-1031 Fax: 801-208-1987 | |
Patti Alyssa Larsen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 195 W 7200 S, Midvale, UT 84047 Phone: 801-565-6900 |