| Doctor Name: | MRS. MARCIA E. JACOBS |
| NPI Number: | 1841446556 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. - B.C. |
| License Number: | 13567 |
| Business Practice Address: | 1236 Knoxville Hwy Wartburg, TN - 378874200 |
| Business Phone Number: | 4233465566 |
| Business Fax Number: | 4233465631 |
| Mailing Address: | Po Box 368, WARTBURG |
| State: | TN |
| Postal Code: | 378870368 |
| Phone Number: | 4233465566 |
| Fax Number: | 4233465631 |
| NPI Enumeration Date: | 08/13/2008 |
| NPI Last Update Date: | 01/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 13567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |