Individual
CHRISTOPHER L JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.R.N.P.
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5920
Mailing address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A104980
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4211987212
—
NE
Enumeration date
08/22/2007
Last updated
06/14/2021
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