Individual
JESSICA NICOLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
315 E PEAK BLVD, MUSKOGEE, OK 74403-8515
(918) 683-9167
(918) 682-2069
Mailing address
313 E PEAK BLVD, MUSKOGEE, OK 74403-8515
(918) 683-0273
(918) 683-8725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5336
OK
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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