TRACY JACOBSON

ROCKFORD, IL
NPI1114529781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209022392)
Enumeration Date2020-11-09
Last Update Date2020-11-09
Business Address
TRACY JACOBSON NP
6000 E STATE ST STE 1
ROCKFORD, IL 61108-2521
Phone number: 800-427-1902
Mailing Address
TRACY JACOBSON NP
333 N SUMMIT ST FL 15
TOLEDO, OH 43604-2615
Phone number: 800-427-1902