Individual
MEGAN E JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP, PMHS
Contact information
Practice address
6319 E US HIGHWAY 36 STE 7, AVON, IN 46123-6210
(765) 721-6766
(765) 800-9013
Mailing address
7194 KNIGHTBRIDGE CT, AVON, IN 46123-8403
(317) 417-7379
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28153869A
IN
Other
Enumeration date
08/09/2007
Last updated
11/13/2024
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