| Doctor Name: | MS. GINA RENEE JACOBS |
| NPI Number: | 1851734230 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OWNER/OPERATOR DOT |
| License Number: | 003562 |
| Business Practice Address: | 305 N College St. Winchester, TN - 37398 |
| Business Phone Number: | 6153517890 |
| Business Fax Number: | |
| Mailing Address: | 305 N College St., WINCHESTER |
| State: | TN |
| Postal Code: | 37398 |
| Phone Number: | 6153517890 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 341600000X |
| License Number: | 003562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |