Individual provider · Type 1 NPI

Melissa Dale Jacobson

Other Specialist/Technologist · Shepherdstown, WV

NPI number 1114743200 Active

Practice location

75 Sybil Ct
Shepherdstown, WV 25443-4669

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

About NPI 1114743200

Melissa Dale Jacobson's National Provider Identifier is 1114743200, issued on Nov 23, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Shepherdstown, WV. The record was last updated on Nov 23, 2024.