Individual
SHAUNA MARIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1309 W 17TH ST STE 101, SIOUX FALLS, SD 57104-8805
(605) 328-8000
(605) 328-8001
Mailing address
3900 S LISANNE AVE, SIOUX FALLS, SD 57103-7230
(605) 376-3213
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001276
SD
Other
Enumeration date
09/27/2017
Last updated
07/05/2019
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