Individual
STACEY L JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1319 DUNCAN AVE, JEFFERSONVILLE, IN 47130-3759
(812) 283-2308
(812) 283-2832
Mailing address
1319 DUNCAN AVE, FAMILY HEALTH CENTER CLARK COUNTY, JEFFERSONVILLE, IN 47130-3759
(812) 283-2308
(812) 283-2832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3010254
KY
363L00000X
Nurse Practitioner
Primary
71004631B
IN
Other
Enumeration date
09/25/2013
Last updated
10/11/2022
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