TINA LYNNE JACOBS

BLOOMINGTON, IN
NPI1457515884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71002683A)
Enumeration Date2008-07-15
Last Update Date2013-05-29
Business Address
-- TINA LYNNE JACOBS NP
550 S LANDMARK AVE
BLOOMINGTON, IN 47403-3239
Phone number: 812-330-3688
Mailing Address
-- TINA LYNNE JACOBS NP
950 N MERIDIAN ST STE 500 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46204-3908
Phone number: 317-962-4941
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