Individual
EMILY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
9120 EMERICK RD W, WEST MILTON, OH 45383-9606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
024929
OH
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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