Jacobs, Gary Lee

Jacobs, Gary Lee is an sole proprietor health care provider with primary practice located at 215 Marion Ave , Mccomb MS 39648-2705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jacobs, Gary Lee can be contacted via phone (601) 249-5500.

Contact Information

Primary practice address
215 Marion Ave Mccomb MS 39648-2705
Phone: (601) 249-5500
Fax: (601) 249-1709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R550884 Mississippi

Profile Details

NPI number 1861502155
LBN Legal business name Jacobs, Gary Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers