Individual
JAKOB PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546-7637
(910) 333-0283
(910) 333-0513
Mailing address
461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546-7637
(910) 333-0283
(910) 333-0513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10185
NC
363AM0700X
Medical Physician Assistant
0010-10185
NC
Other
Enumeration date
05/26/2020
Last updated
04/28/2025
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