Individual
MRS. HEATHER WOODS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N.
Contact information
Practice address
1065 VINEHAVEN DR, CONCORD, NC 28025-2439
(704) 786-9181
Mailing address
1016 WEATHERBY DR, SALISBURY, NC 28146-5218
(704) 279-0743
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
138512
NC
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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