Jacobs, Willetta Rozena
Jacobs, Willetta Rozena is an sole proprietor health care provider with primary practice located at 1847 S Lake Dr , Lexington SC 29073-7759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacobs, Willetta Rozena can be contacted via phone (803) 356-8998.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21873 | South Carolina |
Profile Details
| NPI number | 1033326590 |
|---|---|
| LBN Legal business name | Jacobs, Willetta Rozena |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Sep 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033326590 | NPPES |
| South Carolina | MEDICAID | NP5401 |
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