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Individual

LEIGH JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
719 OKATIE HWY # 170, OKATIE, SC 29909-3963
(843) 987-7400
Mailing address
8 RILEY RD, BEAUFORT, SC 29906-9025
(843) 597-1343

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21413
SC

Other

Enumeration date
02/02/2018
Last updated
03/28/2024
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