Individual
LAURA ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6159 1ST FINANCIAL DR, ST. ELIZABETH PHYSICIANS, BURLINGTON, KY 41005-7892
(859) 586-8200
(859) 586-8233
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 586-8200
(859) 586-8233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007064
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100175190
—
KY
Enumeration date
08/02/2011
Last updated
09/10/2018
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