Search › Wyoming › 363LA2100X
John Jacobs, NP-C
NPI 1497184378 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3236 E Grand Ave Ste D
Laramie, WY 82070 - Phone
- (307) 760-8602
- Fax
- (307) 460-9880
- Organisation at this address
- Kurt S. Johnson, Md, Pc
Grand Ave Family Medicine
Grand Avenue Urgent Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- CO, MA, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming