Individual provider · Type 1 NPI
Heidi Kathleen Jacobs, FNP
Family Nurse Practitioner · O Fallon, MO
NPI number
1194596627
Active
Practice location
11 Delegate Cir
O Fallon, MO 63368-8500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2024001282 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194596627
Heidi Kathleen Jacobs, FNP's National Provider Identifier is 1194596627, issued on Jan 12, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in O Fallon, MO. The record was last updated on Jan 12, 2024.