Individual
JAKYIRA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 HIGH ST STE 230, SPRINGFIELD, MA 01105-1435
(413) 495-1500
Mailing address
50 CAPEN ST APT 1A, HARTFORD, CT 06120-2063
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/26/2019
Last updated
11/24/2021
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