IndividualActive
Melissa Jacobson
NPI 1114743200 · Other Specialist/Technologist · Shepherdstown, WV
Provider details
- NPI number
- 1114743200
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
75 Sybil Ct
Shepherdstown, WV 25443-4669
Phone: (443) 960-0731
Approximate (ZIP-level) locationGet directions
Mailing address
75 Sybil Ct
Shepherdstown, WV 25443-4669
Registry dates
- Enumerated
- 2024-11-23
- Last updated
- 2024-11-23
- Certified
- 2024-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.