Individual
JEANETTE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-3061
Mailing address
1050 PINERIDGE DR, RENO, NV 89509-3628
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APN00203
NV
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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