| NPI | 1578177150 |
|---|---|
| Former Name | CAMIE LYNN JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN0996555NP) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-05-31 |