Individual
JACOB R DEBONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
72 FILER ST, MANISTEE, MI 49660-2717
(231) 723-5600
(231) 723-1048
Mailing address
72 FILER ST, MANISTEE, MI 49660-2717
(231) 723-5600
(231) 723-1048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285441
MI
Other
Enumeration date
01/08/2019
Last updated
06/24/2026
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