# GENEVIEVE CAMILLA JACOBS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912369992
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 04488 | KY | — |
| 207R00000X | Internal Medicine Physician | R4099 | KY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 04488 | KY | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 131835 | MT | — |

## Other

- **Enumeration date:** 03/28/2016
- **Last updated:** 05/17/2024