Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley Nicole Jacobson

Individual provider Psychologist · NPI 1104548957

Ashley Nicole Jacobson is a Psychologist in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

9887 4th St N Ste 319
St Petersburg, FL 33702-8445
Phone: (727) 490-8665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY12361 (FL)

Record details

NPI number1104548957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address430 3rd Ave S Apt 278, St Petersburg, FL 33701-4186

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