Individual
MRS. MARY ELLEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCM
Contact information
Practice address
2408 3RD AVE, TOMS RIVER, NJ 08753-6143
(732) 288-0394
(866) 739-0106
Mailing address
2408 3RD AVE, TOMS RIVER, NJ 08753-6143
(732) 644-6664
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
26NO10334200
NJ
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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