Jacobs, Michelle Laverne

Jacobs, Michelle Laverne is an sole proprietor health care provider with primary practice located at 2140 Professional Dr Ste 210 , Roseville CA 95661-3776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacobs, Michelle Laverne can be contacted via phone (916) 782-5511.

Contact Information

Primary practice address
2140 Professional Dr Ste 210 Roseville CA 95661-3776
Phone: (916) 782-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95000824 California

Profile Details

NPI number 1356747687
LBN Legal business name Jacobs, Michelle Laverne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2014
Last updated Sep 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356747687 NPPES
California Other 95000824 NURSE PRACTIONER LICENSE NUMBER

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