Individual
COLLEEN JACOBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
359 CROSSWINDS LN, GREEN BAY, WI 54311-8909
(920) 468-3561
Mailing address
359 CROSSWINDS LN, GREEN BAY, WI 54311-8909
(920) 468-3561
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
113985-030
WI
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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