Individual
JEANNETTE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(612) 659-7111
(612) 659-7101
Mailing address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(612) 659-7111
(612) 659-7101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704084292
MI
Other
Enumeration date
06/15/2007
Last updated
01/26/2015
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