Jacobs, Leah

Jacobs, Leah is an individual health care provider with primary practice located at 5095 Mount Zion Pkwy , Stockbridge GA 30281-7825. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jacobs, Leah can be contacted via phone (770) 507-0576.

Contact Information

Primary practice address
5095 Mount Zion Pkwy Stockbridge GA 30281-7825
Phone: (770) 507-0576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X RN209956 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN209956 Georgia

Profile Details

NPI number 1942728449
LBN Legal business name Jacobs, Leah
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Nov 30th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942728449 NPPES
Other RN209965 STATE LICENSE

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