Individual provider · Type 1 NPI
Renatta Jacobs
Primary Care Nurse Practitioner · Lodi, NJ
NPI number
1235725326
Active
Practice location
114 Spring St
Lodi, NJ 07644-3125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | F309729 (NY) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1235725326
Renatta Jacobs's National Provider Identifier is 1235725326, issued on Dec 14, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lodi, NJ. The record was last updated on Dec 14, 2020.