Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD2182 | TN |
NPI | 1306923362 |
---|---|
Provider Name | Dr. Joseph Kenneth Jacobs |
First Address | Nashville, TN 37212-2637 |
Second Address | Nashville, TN 37212-2637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |