Individual
MRS. PEGGY JO JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, CNM, DNP, APN
Contact information
Practice address
1300 FRANKLIN AVE, SUITE 181, NORMAL, IL 61761-3592
(309) 268-2640
(309) 268-2649
Mailing address
1300 FRANKLIN AVE, SUITE 181, NORMAL, IL 61761-3592
(309) 268-2640
(309) 268-2649
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.002481
IL
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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