Melissa Dale Jacobson
Individual provider Active NPI Other Specialist/Technologist · Shepherdstown, WV
NPI 1114743200 · NPPES record last updated Nov 23, 2024
Key facts
- NPI
- 1114743200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Specialist/Technologist 246Z00000X
- Practice address
- 75 Sybil CT
Shepherdstown, WV 25443-4669 - Phone
- (443) 960-0731
- NPI assigned
- Nov 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Yes |
Addresses
Primary practice location
75 Sybil CT
Shepherdstown, WV 25443-4669
Mailing address
75 Sybil CT
Shepherdstown, WV 25443-4669
Phone (443) 960-0731
Other providers in Shepherdstown, WV
- Tessa Marie Hickey
- Christopher A Horowicz
- Tabitha Marie Hovermale
- Amanda Brooke Izer
- J. Peterson, PH.D., LLC
- Hollie Rice Jarrell
- Jefferson Chiropractic Center, Inc.
- Margaret Anne Jester
- Johnston Neuromuscular Therapies and Bodywork
- Tabitha Marie Jones-Wohleber
All providers in Shepherdstown, WV · Other Specialist/Technologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.