Individual
FERNANDA N JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B301, MCHENRY, IL 60050-8439
(847) 535-6083
(847) 234-4336
Mailing address
4309 W MEDICAL CENTER DR STE B301, MCHENRY, IL 60050-8439
(847) 535-6083
(847) 234-4336
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028349
IL
363LA2100X
Acute Care Nurse Practitioner
041462060
IL
363LA2100X
Acute Care Nurse Practitioner
209.028349
IL
Other
Enumeration date
08/16/2023
Last updated
08/06/2024
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