| Doctor Name: | MS. PATRICIA JACOBS-MANN |
| NPI Number: | 1023091428 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP0704 |
| Business Practice Address: | 2776 Cleveland Ave Fort Myers, FL - 339015855 |
| Business Phone Number: | 2393432052 |
| Business Fax Number: | 2394241421 |
| Mailing Address: | P.o. Box 2147, FORT MYERS |
| State: | FL |
| Postal Code: | 339022147 |
| Phone Number: | 2394241449 |
| Fax Number: | 2394241421 |
| NPI Enumeration Date: | 11/21/2005 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP0704 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |