LISA JACOBS

BANGOR, ME
NPI1568554186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ME  R038704)
Enumeration Date2006-09-29
Last Update Date2015-09-04
Business Address
LISA JACOBS PMHNP
268 STILLWATER AVE
BANGOR, ME 04401-3945
Phone number: 207-973-7306
Mailing Address
LISA JACOBS PMHNP
21823 E SANDY HILL LN
SOUTH BEND, IN 46628-9518
Phone number: 574-807-5145
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