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Organization
WEB NP LLC
Active
Organization
WEB NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JACOBS NP (OWNER)
(224) 456-7660
Entity
Organization
Contact information
Practice address
906 W 2ND AVE STE 100, SPOKANE, WA 99201-4540
(224) 456-7660
Mailing address
651 MALL DR UNIT 59294, SCHAUMBURG, IL 60159-3216
(224) 456-7660
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
01/10/2019
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