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Individual

KRISTEN LYNN JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
175 ROUTE 130 S, CINNAMINSON, NJ 08077-3376
(856) 536-1640
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01479400
NJ
363LF0000X
Family Nurse Practitioner
SP020623
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ01479400
NJ

Other

Enumeration date
08/06/2019
Last updated
08/11/2025
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