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

Dr. Mary Nguyen Jacobson, MD

Individual provider Pediatric Allergy/Immunology Physician · NPI 1699137075

Dr. Mary Nguyen Jacobson, MD is a Pediatric Medicine in Kansas City, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2016, 10 years ago. Licensed in Kansas and Missouri.

Years since qualifying
10
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KS, MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Allergy/Immunology Physician (primary) Taxonomy 2080P0201X · Licence 04-44407 (KS)
Pediatric Allergy/Immunology Physician Taxonomy 2080P0201X · Licence 2019022218 (MO)

Record details

NPI number1699137075
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2016
Last updated in NPPESDecember 7, 2025
Certification dateDecember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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