Individual
SANDRA L JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
1300 TIGER BLVD, CLEMSON, SC 29631
(864) 653-6724
Mailing address
1300 TIGER BLVD, CLEMSON, SC 29631-1114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
290
SC
Other
Enumeration date
01/30/2009
Last updated
12/01/2021
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