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

Carolyn Ann Jacobson, AGCNS-BC, APNP

Individual provider Gerontology Clinical Nurse Specialist · NPI 1508643131

Carolyn Ann Jacobson, AGCNS-BC, APNP is a Gerontology Clinical Nurse Specialist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
Specialties on file
3

Practice location Address checks out

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone: (414) 649-6000
Fax: (414) 649-5940
Show map & directions

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

Specialties & licences

Gerontology Clinical Nurse Specialist (primary) Taxonomy 364SG0600X · Licence 12080-33 (WI)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 2020114847 (WI)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 131768-30 (WI)

Record details

NPI number1508643131
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGCNS-BC , APNP
Sole proprietorNo
NPI enumeratedSeptember 8, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

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