Individual
LAUREL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 COUNTY ROAD 112, DOTHAN, AL 36303-0835
(866) 205-0818
Mailing address
1108 HILLBROOK RD, DOTHAN, AL 36303-1900
(270) 925-5487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-097515
AL
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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