NATHAN JACOBS

EDGEWOOD, KY
NPI1255009486
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3015130)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.0035789)
363LF0000X Nurse Practitioner, Family
(Licence: KY  3015130)
Enumeration Date2021-09-01
Last Update Date2024-11-15
Business Address
NATHAN JACOBS NP
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3403
Phone number: 859-301-9010
Mailing Address
NATHAN JACOBS NP
PO BOX 636324
CINCINNATI, OH 45263-6324
Phone number: 859-301-9010