Individual
CORI L JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
PRESTON PLACE I 5180 CHAPPEL DRIVE, BUILDING B, PERRYSBURG, OH 43551-7288
(567) 585-0265
(419) 873-6188
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-8541
(419) 480-1340
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
06073
OH
367A00000X
Advanced Practice Midwife
Primary
NM-06073
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201559
ANTHEM
—
01
—
05225
PARAMOUNT
—
05
—
2223534
—
OH
01
—
344428256
BEECH STREET
CA
01
—
344428256
HEALTH NET
OH
01
—
344428256072
CARESOURCE
—
05
—
4285606
—
MI
Enumeration date
07/13/2005
Last updated
11/03/2023
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