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

Holly Jacobson, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861073322

Holly Jacobson, PMHNP is a Nurse Practitioner in Moorpark, California. Qualified in 2021, 5 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

893 Patriot Dr Ste A
Moorpark, CA 93021-3357
Phone: (805) 531-1000
Fax: (805) 531-1100
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 547154 (CA)

Record details

NPI number1861073322
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedApril 16, 2021
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Moorpark