Individual
SUSAN JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
181 FRANKLIN HEALTH COMMONS, FARMINGTON, ME 04938-6144
(207) 778-6394
(207) 778-2886
Mailing address
111 FRANKLIN HEALTH COMMONS, FARMINGTON, ME 04938-6144
(207) 778-6394
(207) 778-2886
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
50674
ME
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
01/18/2006
Last updated
01/19/2012
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