Jennifer Renee Jacobs
Jennifer Renee Jacobs is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Lakeview Health Center PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 6
- Licensed in
- MI
- In the registry since
- 2020
Practice location Address checks out
4118 Kalamazoo Ave SEGrand Rapids, MI 49508-3605
Phone: (616) 455-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 4704223098 (MI) |
|---|
Record details
| NPI number | 1083212245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 11, 2020 |
| Last updated in NPPES | October 11, 2020 |
| Certification date | October 11, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Lakeview Health Center Pc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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