Individual
NICOLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
195 WEST ILLINOIS AVENUE, ATTN: APRIL SMITH, SOUTHERN PINES, NC 28387
(910) 692-2444
(910) 692-3031
Mailing address
195 WEST ILLINOIS AVENUE, ATTN: APRIL SMITH, SOUTHERN PINES, NC 28387
(910) 692-2444
(910) 692-3031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2014-02452
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2014-02452
NC
Other
Enumeration date
05/22/2013
Last updated
04/27/2020
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