Provider Demographics
NPI:1174769699
Name:JAKOBSEN, JESSICA HOPE (MSN, APRN, CRNA)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:HOPE
Last Name:JAKOBSEN
Suffix:
Gender:F
Credentials:MSN, APRN, CRNA
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:HOPE
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, CRNA
Mailing Address - Street 1:4 SPRING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TELLURIDE
Mailing Address - State:CO
Mailing Address - Zip Code:81435
Mailing Address - Country:US
Mailing Address - Phone:970-519-1216
Mailing Address - Fax:303-422-9474
Practice Address - Street 1:145 W PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:TELLURIDE
Practice Address - State:CO
Practice Address - Zip Code:81435
Practice Address - Country:US
Practice Address - Phone:970-519-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCRNA1447367500000X
OR201160006CRNA367500000X
OR201501636CRNA-PP367500000X
COC.APN.0001777-C-CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered