Individual
ELAYNE M JACOBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
RIDGE ST, BOWLING GREEN, OH 43403-0001
(419) 372-2271
(419) 372-8010
Mailing address
RIDGE ST, BOWLING GREEN, OH 43403-0001
(419) 372-2271
(419) 372-8010
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
NP00628
OH
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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