Individual
MS. HEATHER JOAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
815 OAKRIDGE BLVD, LUMBERTON, NC 28358-2330
(910) 738-7166
(910) 738-3764
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 670-5290
(910) 738-3674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005747
NC
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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