Individual
BETHANY NOELLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 SHENKS LN, MILLERSVILLE, PA 17551-1982
(717) 872-5444
(717) 872-1537
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059393
PA
363A00000X
Physician Assistant
—
PA
Other
Enumeration date
09/27/2017
Last updated
10/18/2024
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