Renatta Jacobs
NPI #1235725326 in Lodi, New Jersey
Provider Information
- NPI Number
- 1235725326
- Entity Type
- Individual
- Name
- Renatta Jacobs
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Dec 14, 2020
- Last Updated
- Dec 14, 2020
Practice Location
- Address
- 114 SPRING ST
- City
- Lodi
- State
- New Jersey
- ZIP Code
- 07644-3125
- Phone
- (347) 837-6360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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