Individual
MARY ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 YEARSLEY MILL RD, MEDIA, PA 19063-5518
(484) 227-1475
Mailing address
1223 HAMILTON DR, WEST CHESTER, PA 19380-3307
(484) 888-4164
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN261715L
PA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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