Individual
MRS. DENISE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
555 E CHEVES ST STE 170, FLORENCE, SC 29506-2617
(843) 777-5646
Mailing address
800 E CHEVES ST STE 170, FLORENCE, SC 29506-2651
(843) 777-5646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26639
SC
Other
Enumeration date
12/01/2022
Last updated
12/02/2022
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