Individual
BRUCE E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, BC
Contact information
Practice address
420 W MORRIS BLVD, STE. 400B, MORRISTOWN, TN 37813-2283
(423) 586-2410
(423) 581-9692
Mailing address
420 W MORRIS BLVD, STE. 400B, MORRISTOWN, TN 37813-2283
(423) 586-2410
(423) 581-9692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12994
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12994
LICENSE
TN
05
—
3341623
—
TN
Enumeration date
12/03/2007
Last updated
06/24/2008
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