Individual
JESSICA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TONEY DR, ARP, TX 75750-5024
(903) 859-4917
Mailing address
2051 W CUMBERLAND RD APT 811, TYLER, TX 75703-7855
(405) 924-0551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9454
TX
Other
Enumeration date
01/17/2023
Last updated
09/30/2025
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