Individual provider · Type 1 NPI

Bethany Jacobs

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1497034466 Active

Practice location

9702 Stonestreet Rd, Ste. 110
Louisville, KY 40272-6808

Call (502) 589-8600 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497034466

Bethany Jacobs's National Provider Identifier is 1497034466, issued on Aug 9, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Aug 23, 2011.