Individual
WESLEY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5737
Mailing address
1024 OAK BEND LN, FLORENCE, SC 29501-8596
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
20266
SC
Other
Enumeration date
06/20/2016
Last updated
03/04/2022
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