Kelley Wallace Jacobs, DNP/FNP
NPI #1952721672 in Dillon, South Carolina
Provider Information
- NPI Number
- 1952721672
- Entity Type
- Individual
- Name
- Kelley Wallace Jacobs, DNP/FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- DNP/FNP
- Enumeration Date
- Apr 21, 2014
- Last Updated
- Jul 28, 2014
Practice Location
- Address
- 705 N 8TH AVE STE 1A
- City
- Dillon
- State
- South Carolina
- ZIP Code
- 29536-2549
- Phone
- (843) 774-2478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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