Susan E Jacobson, NP - Registered Nurse in Fairfax, VA

Susan E Jacobson, NP is a Registered Nurse - Psychiatric/mental Health, Adult based in Fairfax, Virginia. Susan E Jacobson is licensed to practice in Virginia (license number 001500246) and her current practice location is 3020 Javier Rd, Inova Behavioral Health, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 289-7585.

NPI number for Susan E Jacobson is 1063541977 and her current mailing address is 4131 Evergreen Dr, Fairfax, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063541977.

Contact Information

Susan E Jacobson, NP
3020 Javier Rd, Inova Behavioral Health,
Fairfax, VA 22031-4609
(703) 289-7585
(703) 289-4612

Map and Direction




Provider's Profile

Full NameSusan E Jacobson
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health, Adult
Location3020 Javier Rd, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063541977
  • Provider Enumeration Date: 03/05/2007
  • Last Update Date: 03/09/2011

Medical Identifiers

Medical identifiers for Susan E Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063541977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 001500246 (Virginia)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024167284 (Virginia)Secondary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 0015000246 (Virginia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan E Jacobson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan E Jacobson, NP
4131 Evergreen Dr,
Fairfax, VA 22032-1018

Ph: (703) 289-7560
Susan E Jacobson, NP
3020 Javier Rd, Inova Behavioral Health,
Fairfax, VA 22031-4609

Ph: (703) 289-7585

Reviews and Comments


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