| NPI | 1932790698 |
|---|---|
| Former Name | ALECIA LYNETTE JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO -APN.0002609-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0001215-C-NP) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-10-26 |