Individual
MRS. RUTH KELLY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
311 23RD AVE N, SUITE #311, NASHVILLE, TN 37203-1503
(615) 340-5650
(615) 340-2113
Mailing address
311 23RD AVE N, SUITE #311, NASHVILLE, TN 37203-1503
(615) 340-5650
(615) 340-2113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000109570
TN
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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