Kristen Jacobs in Mt Vernon - Family Medicine
Kristen Jacobs - NPI 1457302655
Kristen Jacobs is a Family Medicine in Mt Vernon, Illinois. Kristen Jacobs practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kristen Jacobs is 1457302655. The last update date is 2007-07-24.
Kristen Jacobs's current location address is 329 Broadway, Mt Vernon, Illinois. You can contact this provider via phone number 6182443370. The mailing address for Kristen Jacobs is 329 Broadway, Mt Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen Jacobs |
|---|---|
| Address | 329 Broadway, Mt Vernon, Illinois |
| Phone Number | 6182443370 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457302655 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
| Address | 329 Broadway |
|---|---|
| City | Mt Vernon |
| State | Illinois (IL) |
| Post Code | 628645115 |
| Phone Number | 6182443370 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 376020408007 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kristen Jacobs by the Centers for Medicare & Medicaid Services?
The Kristen Jacobs has been assigned the NPI (National Provider Identifier) 1457302655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kristen Jacobs's facilities are geographically located?
The facilities of Kristen Jacobs are physically situated at the following location: 329 Broadway, Mt Vernon, IL, 628645115.
What is the Kristen Jacobs's specialty and taxonomy code?
The Kristen Jacobs's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Kristen Jacobs receive the assignment of its 1457302655 from the Centers for Medicare & Medicaid Services?
The Kristen Jacobs was issued its 1457302655 by the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information related to Kristen Jacobs most recently updated or refreshed?
The details pertaining to the Kristen Jacobs, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-24.
NPI Number: 1215930425
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