Individual
SHAWANDA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 FALLS OF NEUSE RD, RALEIGH, NC 27614-7838
(919) 350-8000
Mailing address
10000 FALLS OF NEUSE RD, RALEIGH, NC 27614-7838
(919) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232936
NC
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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