Individual
MACKENZIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 SHERIDAN DR, 202, LANCASTER, OH 43130-1381
(740) 654-0232
Mailing address
638 E 5TH AVE, LANCASTER, OH 43130-3107
(740) 304-9309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
020843
OH
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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