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Individual
MS. LISA ELLEN JACOBS
Active
Individual
MS. LISA ELLEN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11001508
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
SPOO8576
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102348200
—
FL
Enumeration date
07/25/2008
Last updated
07/26/2019
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