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Individual

JACOB ANTHONY FARNSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, FNP

Contact information

Practice address
1000 BRABHAM AVE, JACKSONVILLE, NC 28546-5003
(910) 347-1515
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-1540
(910) 431-4048

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018204
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/08/2023
Last updated
06/13/2023
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