Individual
BRANDIE NICOLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(888) 849-7379
Mailing address
9899 HWY 301 NORTH, LUMBERTON, NC 28358
(910) 225-6364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015178
NC
Other
Enumeration date
10/06/2021
Last updated
10/13/2021
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