Most Relevant Information
Provider Data
| NPI Number: | 1003383324 |
| Provider Name: | JENNIFER MARIE JACOBI PNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 2018030068 |
Most Important Dates
| Enumeration Date: | 10/24/2018 |
| Last Updated: | 04/25/2024 |
Provider Practice Location
1 CHILDRENS PL
DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS
MO
631101002
Practice Location Phone/Fax
| Phone: | 3143623577 |
| Fax: | 3143622107 |
Provider Mailing Location
PO BOX 60352
SAINT LOUIS
MO
631600352
Provider Mailing Phone/Fax
| Phone: | 3143623577 |
| Fax: | 3143622107 |