Individual
SHELBY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
37767 MARKET DR UNIT 2, CHARLOTTE HALL, MD 20622-3198
(301) 884-0278
(301) 884-8663
Mailing address
PO BOX 258, HOLLYWOOD, MD 20636-0258
(301) 884-0278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R215893
MD
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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