Individual
MS. JAMMIE LYNN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
668 WILLOW ST, BALDWIN, WI 54002-4301
(651) 734-8700
Mailing address
668 WILLOW ST, BALDWIN, WI 54002-4301
(651) 734-8700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317695
MN
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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