Individual
JEANNINE M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1300
(864) 331-1447
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1686
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0833
—
SC
Enumeration date
05/12/2006
Last updated
03/19/2014
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