Individual
JEANINE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1514 SPARTA ST, MC MINNVILLE, TN 37110-1317
(931) 473-8400
(931) 473-0620
Mailing address
1514 SPARTA ST, MC MINNVILLE, TN 37110-1317
(931) 473-8400
(931) 473-0620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000005149
TN
Other
Enumeration date
03/10/2007
Last updated
02/27/2009
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