Individual
JACOB TYLER TALKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 W ACADEMY ST, RANDLEMAN, NC 27317-9748
(336) 495-1001
(336) 495-1005
Mailing address
550 WHITE OAK ST, ASHEBORO, NC 27203-4710
(336) 625-1360
(336) 625-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019525
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2022
Last updated
03/20/2024
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