Individual
LEAH B JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26425 LAKELAND AVE S, WEBSTER, WI 54893-8343
(715) 866-4271
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4415
WI
363LF0000X
Family Nurse Practitioner
Primary
4415
WI
Other
Enumeration date
06/21/2011
Last updated
02/07/2024
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