Individual
MS. GINA RENEE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER/OPERATOR DOT
Contact information
Practice address
305 N COLLEGE ST., WINCHESTER, TN 37398
(615) 351-7890
Mailing address
305 N COLLEGE ST., WINCHESTER, TN 37398
(615) 351-7890
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
003562
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0697
DEPT OF TRANSPORTATION
TN
Enumeration date
04/16/2013
Last updated
04/16/2013
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