Individual
NORA J JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12201 S RICH AVE, GRANT, MI 49327-9718
(616) 900-5240
Mailing address
12201 S RICH AVE, GRANT, MI 49327-9718
(616) 900-5240
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114113
MI
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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