Individual
MS. PENNY LYNN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
UNIVERSITY OF MARYLAND HEALTH CTR, BLDG 140 CAMPUS DR, COLLEGE PARK, MD 20742-0001
(301) 314-8190
(301) 314-3596
Mailing address
4101 OGLETHORPE ST, HYATTSVILLE, MD 20782-3026
(301) 779-8715
(301) 314-3596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R078476
MD
Other
Enumeration date
04/02/2007
Last updated
03/07/2023
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