Jacobs, Kelley Wallace
Jacobs, Kelley Wallace is an individual health care provider with primary practice located at 705 N 8Th Ave Ste 1A , Dillon SC 29536-2549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Jacobs, Kelley Wallace can be contacted via phone (843) 774-2478.Contact Information
Primary practice address
705 N 8Th Ave Ste 1A
Dillon SC 29536-2549
Phone: (843) 774-2478
Fax: (843) 774-1826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 18972 | South Carolina |
Profile Details
| NPI number | 1952721672 |
|---|---|
| LBN Legal business name | Jacobs, Kelley Wallace |
| Credentials | DNP/FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2014 |
| Last updated | Jul 28th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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