Individual
ANGELA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4786
(517) 796-6437
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 788-4786
(517) 796-6437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704220596
MI
363LN0000X
Neonatal Nurse Practitioner
Primary
4704220596
MI
363LN0000X
Neonatal Nurse Practitioner
APRN-11040305
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
4704220596
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN-11040305
FL
Other
Enumeration date
01/08/2013
Last updated
01/22/2026
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