Individual
MRS. JULY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 SPRINGDALE DR, EXTON, PA 19341-2847
(610) 524-3703
Mailing address
860 SPRINGDALE DR, EXTON, PA 19341-2847
(610) 331-0912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021901
PA
Other
Enumeration date
05/13/2020
Last updated
09/08/2020
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