Individual
DORA A. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 955-0122
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4486
WI
363LF0000X
Family Nurse Practitioner
Primary
4486
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306125562
—
WI
Enumeration date
08/05/2011
Last updated
07/23/2025
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