Individual
ERICA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9700 STONESTREET RD, LOUISVILLE, KY 40272-2884
(502) 802-7433
Mailing address
7009 JOHN ADAMS WAY, LOUISVILLE, KY 40272-1241
(502) 802-7433
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
1123362
KY
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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