Individual
JILL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 388-7234
Mailing address
3699 W 6050 S, ROY, UT 84067-1027
(801) 388-7234
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
277449-3102
UT
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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