Provider Demographics
NPI:1962655084
Name:JACOBS, KATHERINE MILLING (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MILLING
Last Name:JACOBS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 FRANKLIN RD STE 215
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8214
Mailing Address - Country:US
Mailing Address - Phone:615-436-6235
Mailing Address - Fax:
Practice Address - Street 1:574 FRANKLIN RD STE 215
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-8214
Practice Address - Country:US
Practice Address - Phone:615-436-6235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily