NPI 1114743200

Melissa Dale Jacobson

Practitioner Other Specialist/Technologist Shepherdstown, WV

Practice location

Address: 75 Sybil CT, Shepherdstown, WV 25443-4669
Phone: (443) 960-0731

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in West Virginia →

Registry record

NPI: 1114743200
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2024
Record last updated: 23 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.