Individual
JAMIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1700 ST LUKES BLVD, EASTON, PA 18045
(484) 526-4838
(484) 526-6088
Mailing address
1700 ST LUKES BLVD, EASTON, PA 18045
(484) 526-4838
(484) 526-6088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OT022565
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2022
Last updated
06/25/2023
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