IndividualActive
Carol Jacobs, NP
NPI 1255354064 · Adult Health Nurse Practitioner · Cleveland, WI
Provider details
- NPI number
- 1255354064
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 137 (WI)
Practice location
1205 North Ave
Cleveland, WI 53015-1413
Phone: (920) 693-5600
Fax: (920) 693-5604
Mailing address
1274 Meadowbrook Drive
Cleveland, WI 53015
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.