Individual
CHANTEL TENESIA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7751 9TH ST N, ST PETERSBURG, FL 33702-1102
(727) 521-2424
Mailing address
7751 9TH ST N, ST PETERSBURG, FL 33702-1102
(727) 521-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME133433
FL
Other
Enumeration date
05/15/2015
Last updated
06/10/2022
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