Individual
ASHLEY JUSTINE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5039 SWAMP RD STE 401, FOUNTAINVILLE, PA 18923-9663
(215) 230-8380
Mailing address
49 WILLIAMS DR, FOUNTAINVILLE, PA 18923-9508
(215) 589-0329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026334
PA
Other
Enumeration date
09/28/2022
Last updated
10/02/2024
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