black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NICOLE JACOBSON

PRODUCER NON-RESIDENT

License Number:
PRN516669
Status:
First Licensure:
05/28/2025
Cancel Date:
None

Mailing:
QUINCY, MA 02169
Phone:
+1 (800) 692-6326
Email:
nicole.jacobson@amfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/28/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY BROKERAGE INC
05/28/2025 AGN214048

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 05/28/2025 Active
PROPERTY 05/28/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21599851

Other Addresses

Address Type
6000 AMERICAN PKWY
MADISON, WI 53783-0001
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 01/17/2026 10:25:57 PM