Individual
MRS. ALEXANDRIA JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11212 STATE HIGHWAY 151 STE 230, SAN ANTONIO, TX 78251-4501
(210) 401-1234
Mailing address
13126 BEALS CIR, SAN ANTONIO, TX 78253-4596
(219) 384-5997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP144285
TX
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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