Individual
DR. MARIANNE BERNADETTE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3109 SILKWOOD LN, PORT CHARLOTTE, FL 33953-5686
(615) 345-5400
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5005
(615) 345-5400
(615) 345-5405
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
31615
CO
2084N0400X
Neurology Physician
Primary
OS5346
FL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
31615
CO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
31615
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01316157
—
CO
01
—
50813
STATE LICENSE
CT
01
—
57444Y
MEDICARE PTAN
FL
01
—
841328898011
ROCKY MOUNTAIN HEALTH PLA
—
01
—
84132889816
SECURE HORIZONS
—
01
—
P01290076
RAILROAD MEDICARE
FL
Enumeration date
07/19/2006
Last updated
09/02/2020
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