Lavonne Jacobsen, APRN, CNM is a
Advanced Practice Midwife based in Edmond, Oklahoma. Lavonne Jacobsen is licensed to practice in California (license number NMW621) and her current practice location is
3208 Amberwood Ct, Edmond, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 509-4661.
NPI number for Lavonne Jacobsen is 1922265800 and her current mailing address is 3208 Amberwood Ct, Edmond, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922265800.
Provider's Profile
| Full Name | Lavonne Jacobsen |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 3208 Amberwood Ct, Edmond, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922265800
- Provider Enumeration Date: 05/19/2008
- Last Update Date: 07/08/2013
Medical Identifiers
Medical identifiers for Lavonne Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922265800 | NPI | - | NPPES |
| NMW006210 | Other | CA | MEDI-CAL |
| ZZZ37640Z | Other | CA | BLUE SHIELD |
| R 0101207 | Other | OK | OKLAHOMA ADVANCED PRACTICE REGISTERED NURSE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | NMW621 (California) | Primary |
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. Lavonne Jacobsen 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 Address | Practice Location Address |
|---|
Lavonne Jacobsen, APRN, CNM
3208 Amberwood Ct,
Edmond, OK 73003-2133
Ph: (405) 509-4661 | Lavonne Jacobsen, APRN, CNM
3208 Amberwood Ct,
Edmond, OK 73003-2133
Ph: (405) 509-4661 |
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