Individual
TRACY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
9500 EUCLID AVE, MAIL CODE J4-331, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, MAIL CODE J4-331, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN.CNP.019879
OH
Other
Enumeration date
09/14/2016
Last updated
08/10/2017
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