Individual
NATALIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3590 LUCILLE DRIVE, CINCINNATI, OH 45213
(513) 475-7370
(513) 562-9098
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5501
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.120860
OH
208000000X
Pediatrics Physician
35.120860
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2009
Last updated
01/19/2018
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