Individual
JUDINE JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNP MSN
Contact information
Practice address
11555 1/2 POTRERO RD, BANNING, CA 92220-6946
(951) 849-4761
(951) 849-5612
Mailing address
11555 1/2 POTRERO RD, BANNING, CA 92220-6946
(851) 849-4761
(951) 849-5612
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
292463
CA
Other
Enumeration date
07/29/2005
Last updated
07/08/2007
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