BERNICE C JACOBS

LORAIN, OH
NPI1437142916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  NA01928)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OH  RN185635)
Enumeration Date2005-08-30
Last Update Date2011-05-05
Business Address
Ms. BERNICE C JACOBS CRNA
6125 S BROADWAY
LORAIN, OH 44053-3820
Phone number: 440-233-8181
Mailing Address
Ms. BERNICE C JACOBS CRNA
PO BOX 901681
CLEVELAND, OH 44190-1681
Phone number: 440-233-8181