Willetta Rozena Jacobs in Lexington - Family
Willetta Rozena Jacobs - NPI 1033326590
Willetta Rozena Jacobs is a Family in Lexington, South Carolina. Willetta Rozena Jacobs practices all healthcare services and medical treatments related to Family. The NPI Number for Willetta Rozena Jacobs is 1033326590. The last update date is 2023-09-13.
Willetta Rozena Jacobs's current location address is 1847 S Lake Dr, Lexington, South Carolina. You can contact this provider via phone number 8033568998. The mailing address for Willetta Rozena Jacobs is 1847 S Lake Dr, Lexington, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Willetta Rozena Jacobs |
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Address | 1847 S Lake Dr, Lexington, South Carolina |
Phone Number | 8033568998 |
Fax Number | |
Sole Proprietor | Y |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1033326590 |
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Provider Enumeration Date | 2007-05-16 |
Last Updated Date | 2023-09-13 |
Provider Mailing Address Detail
Address | 1847 S Lake Dr |
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City | Lexington |
State | South Carolina (SC) |
Post Code | 290737759 |
Phone Number | 8033568998 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 21873 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
NP5401 | SC | -- |
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What is the unique 10-digit identification code issued to Willetta Rozena Jacobs by the Centers for Medicare & Medicaid Services?
The Willetta Rozena Jacobs has been assigned the NPI (National Provider Identifier) 1033326590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Willetta Rozena Jacobs is physically located?
The Willetta Rozena Jacobs is physically situated at the following address: 1847 S Lake Dr, Lexington, SC, 290737759.
What is Willetta Rozena Jacobs's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Willetta Rozena Jacobs is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did Willetta Rozena Jacobs receive its 1033326590 assignment from the Centers for Medicare & Medicaid Services?
The Willetta Rozena Jacobs was assigned its 1033326590 on 2007-05-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Willetta Rozena Jacobs's details last updated?
The information pertaining to the Willetta Rozena Jacobs, including its address, specialty, and other details, was most recently updated on 2023-09-13.