Individual
MRS. DANA MARIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
102 W. MCMURRAY STREET, PRAIRIE CITY, IA 50228
(515) 520-2782
Mailing address
102 W. MCMURRAY STREET, PRAIRIE CITY, IA 50228
(515) 520-2782
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
H122229
IA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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