Individual
MISS KRISTIN MICHELLE JACOBS
Active
Individual
MISS KRISTIN MICHELLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-0147049
IL
207V00000X
Obstetrics & Gynecology Physician
MD15052
RI
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
036-0147049
IL
Other
Enumeration date
04/11/2011
Last updated
03/22/2022
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