Individual
CHRISTINE MARY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-8581
Mailing address
1095 WAKE ROBIN CIR SW, LILBURN, GA 30047-1881
(770) 856-9339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN126358
GA
Other
Enumeration date
04/12/2010
Last updated
10/16/2025
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