Individual
MR. JASON MICHAEL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
100 CAPITOLA DR, SUITE 310, DURHAM, NC 27713-4496
(919) 474-6388
Mailing address
6001 HUNLEY DR, HOLLY SPRINGS, NC 27540-7934
(703) 774-5634
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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