Individual
CAROLINE A JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1676 SUNSET AVE, 4TH FLOOR, UTICA, NY 13502-5416
(315) 624-5622
(315) 624-5625
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 315, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
408240
NY
Other
Enumeration date
08/15/2008
Last updated
08/25/2020
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