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Individual
TONYA TANISHA JACOBS
Active
Individual
TONYA TANISHA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11002648
FL
Other
Enumeration date
06/07/2019
Last updated
06/05/2023
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