Individual
JACOBE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
800 GLENWOOD AVE SE, ATLANTA, GA 30316-1814
(470) 447-5031
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN176691
GA
Other
Enumeration date
04/04/2016
Last updated
04/27/2025
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