Individual
AMY R. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
250 BLOSSOM ST, SUITE 350, WEBSTER, TX 77598-4204
(832) 553-5430
(281) 554-6705
Mailing address
PO BOX 4048, HOUSTON, TX 77210-4048
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
645648
TX
Other
Enumeration date
07/14/2011
Last updated
01/18/2022
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