Individual
MRS. JOANNE MICHELLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1935 MOTOR ST, CARDIOLOGY DEPARTMENT, DALLAS, TX 75235-7701
(214) 456-6266
Mailing address
6125 WESTERLEY DR, PLANO, TX 75093-7994
(214) 456-6266
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
647450
TX
Other
Enumeration date
10/26/2006
Last updated
11/02/2011
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