Individual
MS. JENNIFER COLLEEN FLAVIN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
4150 NELSON RD STE 1, LAKE CHARLES, LA 70605-4148
(337) 656-7940
(337) 761-4673
Mailing address
4150 NELSON RD STE 1, LAKE CHARLES, LA 70605-4148
(337) 656-7940
(337) 761-4673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200769
LA
Other
Enumeration date
11/19/2014
Last updated
05/09/2024
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