Individual
JULIE ANN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-3800
Mailing address
17290 MAPLEHURST RUN, GRANGER, IN 46530-9082
(574) 273-9685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004737
MI
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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