Individual
MS. JESSICA NICOLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 S 3RD ST, BARDSTOWN, KY 40004-1032
(270) 765-2605
Mailing address
7314 QUAIL RIDGE RD, LOUISVILLE, KY 40291-4903
(270) 200-3111
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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