Individual
MEGHAN NICOLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 PURDUE MALL, WEST LAFAYETTE, IN 47907-2040
(765) 494-4600
Mailing address
2337 S 5TH ST, SPRINGFIELD, IL 62703-3409
(217) 652-7834
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
07/06/2020
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