Individual
MS. DANELLE ANDEE JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
100 COVEY DR STE 105, FRANKLIN, TN 37067-5603
(615) 794-2747
(615) 591-0460
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
PA809
TN
363A00000X
Physician Assistant
809
TN
363A00000X
Physician Assistant
Primary
PA809
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3668885
—
TN
Enumeration date
08/26/2005
Last updated
08/19/2024
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