Provider Demographics
NPI:1972988269
Name:JACOBS, SHERI DENISE
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:DENISE
Last Name:JACOBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 S ALT A1A STE 1400
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-3901
Mailing Address - Country:US
Mailing Address - Phone:561-467-0288
Mailing Address - Fax:800-455-1412
Practice Address - Street 1:2151 S ALT A1A STE 1400
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-3901
Practice Address - Country:US
Practice Address - Phone:561-467-0288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3384171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist