Individual
PAULA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
(772) 288-0304
Mailing address
1221 SE MENDAVIA AVE, PORT ST LUCIE, FL 34952-5378
(772) 634-8826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5197591
FL
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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