Individual
JESSICA LYNN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 FINCHER RD, ROANOKE, AL 36274-2632
(334) 646-1567
Mailing address
360 FINCHER RD, ROANOKE, AL 36274-2632
(334) 646-1567
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12717
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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