Provider Demographics
NPI:1194800417
Name:JACOBS, KAREN (MS, RN-CS)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:JACOBS
Suffix:
Gender:F
Credentials:MS, RN-CS
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Other - Credentials:
Mailing Address - Street 1:17 DANIEL CT
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-1237
Mailing Address - Country:US
Mailing Address - Phone:978-922-9226
Mailing Address - Fax:978-922-9203
Practice Address - Street 1:100 CUMMING CENTER DR.
Practice Address - Street 2:SUITE 106P
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5900
Practice Address - Country:US
Practice Address - Phone:978-922-9226
Practice Address - Fax:978-922-9203
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA205166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP04322Medicare UPIN