Individual
ASHLEY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3331 SUMMIT BLVD APT 16, PENSACOLA, FL 32503-4320
(404) 661-6781
Mailing address
3331 SUMMIT BLVD APT 16, PENSACOLA, FL 32503-4320
(404) 661-6781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5745
FL
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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