Individual
JENNIFER J JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 GLADES RD, BOCA RATON, FL 33432-1419
(561) 362-4400
(561) 362-4445
Mailing address
PO BOX 862565, ORLANDO, FL 32886-2565
(800) 248-1639
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3259022
FL
Other
Enumeration date
08/22/2006
Last updated
02/25/2011
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