Individual
JESSICA LYNN JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2404 NE 187TH PL, VANCOUVER, WA 98684-6448
(616) 402-0020
Mailing address
2404 NE 187TH PL, VANCOUVER, WA 98684-6448
(616) 638-5690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95003324
CA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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