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Individual

MRS. CHERYL ANN JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
970 W WOOSTER ST RM 130, BOWLING GREEN, OH 43402-2652
(419) 352-6890
Mailing address
970 W WOOSTER ST RM 130, BOWLING GREEN, OH 43402-2652
(419) 352-6890

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP10125
OH
363LP0200X
Pediatric Nurse Practitioner
RN 186729
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP10125
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2971566
OH
Enumeration date
11/14/2008
Last updated
03/14/2023
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