SearchNew York111N00000X

Jessica Jacobs

NPI 1548807803 · on the registry since 2019 · sole proprietor

Practice

Address
15 Sherwood Cres
Dix Hills, NY 11746
Phone
(631) 338-2385

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-12-05

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 New York