Provider Demographics
NPI:1235341066
Name:JACOBS, SHERRI E (ND)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:E
Last Name:JACOBS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 W BEVERLEY ST STE 201
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-4289
Mailing Address - Country:US
Mailing Address - Phone:540-213-1350
Mailing Address - Fax:
Practice Address - Street 1:219 W BEVERLEY ST STE 201
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4289
Practice Address - Country:US
Practice Address - Phone:540-213-1350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099-0000210175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath