| NPI | 1528266988 |
|---|---|
| Former Name | JENNIFER ANNE JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 63562) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 243323) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-03-26 |