Individual
PAMELA RICE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
1623 13TH AVE, HUNTINGTON, WV 25701-3845
(304) 526-4551
(304) 522-9116
Mailing address
1623 13TH AVE, HUNTINGTON, WV 25701-3845
(304) 526-4551
(304) 922-9116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36900
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212260
—
OH
05
—
7102124000
—
WV
Enumeration date
06/28/2005
Last updated
02/21/2012
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