Individual
MISS ERICA E JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 403-5180
(919) 477-1929
Mailing address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 403-5180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
LAT-5827
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
LAT-5827
NC
2255A2300X
Athletic Trainer
Primary
LAT-5827
NC
Other
Enumeration date
05/24/2022
Last updated
11/05/2024
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