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Individual

CRISTINA LOUISE JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 469-6647
(913) 338-1311
Mailing address
25896 PLEASANT VALLEY RD, WELLSVILLE, KS 66092-8307
(417) 529-5589
(949) 864-3907

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76877
KS

Other

Enumeration date
08/07/2015
Last updated
07/30/2026
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