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Individual

LUKE JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
2140 FISHER RD, MECHANICSBURG, PA 17055-5122
(717) 766-1795
Mailing address
2140 FISHER RD, MECHANICSBURG, PA 17055-5122
(717) 766-1795

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN680138
PA
363LF0000X
Family Nurse Practitioner
Primary
SP031360
PA

Other

Enumeration date
09/09/2024
Last updated
12/03/2024
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