Individual
MELLADA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
131 HARBISON BLVD STE A, COLUMBIA, SC 29212-2226
(803) 485-1400
(803) 485-1405
Mailing address
407 CLEARVIEW DR, COLUMBIA, SC 29212-8355
(803) 239-7480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29948
SC
Other
Enumeration date
02/26/2025
Last updated
01/18/2026
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