Individual
MRS. JAMIE LYNNE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9875 ROLLER RD, BYESVILLE, OH 43723-9564
(740) 255-7685
Mailing address
9875 ROLLER RD, BYESVILLE, OH 43723-9564
(740) 255-7685
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN111341
OH
Other
Enumeration date
11/18/2007
Last updated
01/28/2010
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