Individual
ELIZABETH A JACOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
355 MARSHALL AVE, SAINT PAUL, MN 55102-1809
(651) 265-3459
(651) 227-9813
Mailing address
355 MARSHALL AVE, SAINT PAUL, MN 55102-1809
(651) 265-3459
(651) 227-9813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 161746-3
MN
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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