Individual
MISS COURTNEY NICOLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2350 MIAMI VALLEY DR STE 500, CENTERVILLE, OH 45459-4780
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE STE 200, DAYTON, OH 45414-2855
(937) 280-8400
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10191032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392622
—
OH
Enumeration date
11/14/2019
Last updated
11/12/2025
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