Individual
MS. STEPHANIE L JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4911 7TH PL NE, WASHINGTON, DC 20017-2328
(240) 552-6551
Mailing address
4911 7TH PL NE, WASHINGTON, DC 20017-2328
(240) 552-6551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN962408
MD
163WM0705X
Medical-Surgical Registered Nurse
RN962408
MD
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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