MICHELLE VERONICA JACOB

BELLEVILLE, IL
NPI1033548045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209011680)
Enumeration Date2013-11-11
Last Update Date2021-11-15
Business Address
Mrs. MICHELLE VERONICA JACOB NP
4500 MEMORIAL DR DEPT ANESTHESIOLOGY
BELLEVILLE, IL 62226-5360
Phone number: 800-862-9980
Mailing Address
Mrs. MICHELLE VERONICA JACOB NP
660 S EUCLID AVE CB 8054
SAINT LOUIS, MO 63110-1010
Phone number: 800-862-9980
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