NPI
Shannon Nicole Jacobs
NPI 1134674062
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PharmD
- Type
- Individual
- Enumeration date
- 2016-08-21
- Last updated
- 2016-08-21
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Specialties
Licenses
- License MI
- 5302040211
Location
- Practice location
- 3700 Owen Rd
- City
- Fenton MI
- Postal code
- 48430-9193
- Phone
- (810) 750-3735
- Fax
- (810) 750-7281
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pharmacists in Fenton, MI. 28 with this primary taxonomy in the public file.
Other NPIs in Fenton, MI. 674 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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