Individual
ASHLEY LEE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3674 BRACKNELL FOREST DR, GROVEPORT, OH 43125-9160
(614) 749-2121
Mailing address
3674 BRACKNELL FOREST DR, GROVEPORT, OH 43125-9160
(614) 749-2121
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082025
—
OH
Enumeration date
11/06/2018
Last updated
11/06/2018
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