Individual
JONATHAN DAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
611 MCDOWELL AVE NW, ROANOKE, VA 24016-1225
(540) 266-9200
Mailing address
1867 MOUNT TABOR RD, BLACKSBURG, VA 24060-8609
(801) 979-8737
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023015551
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-82245-101
KS
Other
Enumeration date
08/16/2023
Last updated
11/08/2023
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