Kayla Jacobs

NPI #1205476165 in Pembroke, North Carolina

Provider Information

NPI Number: 1205476165
Entity Type: Individual
Name: Kayla Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 8, 2020
Last Updated: Apr 2, 2020

Practice Location

Address: 812 CANDY PARK RD
City: Pembroke
State: North Carolina
ZIP Code: 28372-9120
Phone: (910) 521-0201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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