Individual
BRYNNAN NICOLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
175 HOSPITAL DR, WINCHESTER, KY 40391-9591
(859) 737-8422
Mailing address
175 HOSPITAL DR, WINCHESTER, KY 40391-9591
(859) 737-8422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
175057
KY
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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