Elena Jacobs

NPI #1316617681 in Star, Idaho

Provider Information

NPI Number
1316617681
Entity Type
Individual
Name
Elena Jacobs
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 17, 2021
Last Updated
Apr 21, 2025

Practice Location

Address
9858 W STATE ST
City
Star
State
Idaho
ZIP Code
83669-5210
Phone
(208) 286-9471

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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