Individual
ANNELIESE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
503 E PARKER RD, MORGANTON, NC 28655-5104
(828) 437-6500
(828) 438-0836
Mailing address
503 E PARKER RD, MORGANTON, NC 28655-5104
(828) 437-6500
(828) 438-0836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01271
NC
363AS0400X
Surgical Physician Assistant
1075995
NC
Other
Enumeration date
01/28/2008
Last updated
06/22/2016
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