Individual
NICOLE LYNN JAKOBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1101 CHESTNUT ST FL 16, PHILADELPHIA, PA 19107-3612
(215) 955-6760
Mailing address
2406 CORAL ST, PHILADELPHIA, PA 19125-1609
(202) 285-3250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP030978
PA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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