Search › Indiana › 207ZP0102X
Kristen Jacobs, M.D
NPI 1962594929 · on the registry since 2006
Practice
- Address
- 3355 Douglas Rd
South Bend, IN 46635 - Phone
- (574) 234-4176
- Organisation at this address
- Legacy Path Llc
Memorial Home Care, Inc.
Memorial Home Care, Inc.
Beacon Health Ventures Inc
Beacon Health Ventures IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 1521 Gull Rd, Kalamazoo, MI
- 530 N. Lafayette Blvd, South Bend, IN
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZP0102X
- Licence states on file
- MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana