Mackenzie Jacobson

NPI #1063949790 in Lancaster, Ohio

Provider Information

NPI Number
1063949790
Entity Type
Individual
Name
Mackenzie Jacobson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
May 12, 2017
Last Updated
May 12, 2017

Practice Location

Address
1550 SHERIDAN DR
Address 2
202
State
Ohio
ZIP Code
43130-1381
Phone
(740) 654-0232

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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