Individual
MRS. MARY ELIZABETH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4221 CHARLAR DR, HOLT, MI 48842-6804
(517) 694-7600
Mailing address
4221 CHARLAR DR, HOLT, MI 48842-6804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704234599
MI
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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