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Individual

SANDRA SUE JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3801 SPRINGHURST BLVD STE 101, LOUISVILLE, KY 40241-6137
(502) 394-0101
Mailing address
11613 MAPLE WAY, LOUISVILLE, KY 40229-2212
(502) 214-0206

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3015884
KY

Other

Enumeration date
03/03/2021
Last updated
08/21/2025
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