Individual
LYNNE ANN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4000 MITCHELLVILLE RD, A-414, BOWIE, MD 20716-3104
(301) 860-0985
(301) 860-0978
Mailing address
4000 MITCHELLVILLE RD, A-414, BOWIE, MD 20716-3104
(301) 860-0985
(301) 860-0978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R166907
MD
Other
Enumeration date
06/23/2005
Last updated
12/08/2011
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