Individual
TINA HARRIS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
610 E MARTIN LUTHER KING JR DR, MAXTON, NC 28364-1800
(910) 844-5253
(910) 844-3290
Mailing address
610 E MARTIN LUTHER KING JR DR, MAXTON, NC 28364-1800
(910) 844-5253
(910) 844-3290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201337
NC
Other
Enumeration date
07/21/2005
Last updated
07/24/2007
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