| Doctor Name: | ROSEMARY JACOBS |
| NPI Number: | 1407026446 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN FNP BC |
| License Number: | 13302 |
| Business Practice Address: | 8510 Wilkinsville Rd 104 Millington, TN - 380531537 |
| Business Phone Number: | 9018723114 |
| Business Fax Number: | 9018723114 |
| Mailing Address: | 8510 Wilkinsville Rd, Suite 104 MILLINGTON |
| State: | TN |
| Postal Code: | 380531537 |
| Phone Number: | 9018723114 |
| Fax Number: | 9018723116 |
| NPI Enumeration Date: | 03/05/2008 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 13302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |