Individual
KATHRYN JACOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR CANCER & GERIATRICS CTR RECP B, ANN ARBOR, MI 48109-0912
(734) 936-9015
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704173064
MI
363LA2100X
Acute Care Nurse Practitioner
4704173064
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4304470
—
MI
Enumeration date
03/16/2007
Last updated
09/11/2025
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