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Individual

JACOB PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
174 SW JANUARY DR, LAKE CITY, FL 32024-1281
(386) 984-0285
Mailing address
174 SW JANUARY DR, LAKE CITY, FL 32024-1281
(386) 984-0285

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9366609
FL

Other

Enumeration date
04/21/2026
Last updated
04/21/2026
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