Individual
MRS. JEANNE MARIE JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
41 MALL RD, LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-7000
(781) 744-5348
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-7000
(781) 744-5348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
055219-23-03
NH
363LF0000X
Family Nurse Practitioner
Primary
RN260920
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084016A
—
MA
Enumeration date
10/17/2006
Last updated
09/24/2013
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