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NPI Code Detail

MEDICARE: NATALIE JACOBS

MEDICARE:   NATALIE  JACOBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1053140863
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE JACOBS
Provider Business Mailing Address
First Line : PO BOX 228
Second Line :
City : ROUND MOUNTAIN
State : CA
Zip : 96084-0228
Country : US
Telephone Number : 530-337-5750
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 228
Second Line :
City : ROUND MOUNTAIN
State : CA
Zip : 96084-0228
Country : US
Telephone Number : 530-337-5750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2024
Last Update Date : 07/30/2024

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Directions to “ NATALIE JACOBS ” Practice Location

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