Priscilla Jacobs PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Priscilla Jacobs PA-C
NPI Number
1073109963
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/15/2020
Specialties
(Taxonomies)Name
Code
363A00000X
207VF0040X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
PA9114395
Contact
Information
Purpose
Mailing
Location
Address
6885 BELFORT OAKS PL STE 110
6885 BELFORT OAKS PL STE 110
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32216-6281
32216-6281
Country
US
US
Telephone Number
(904) 652-0373
(904) 652-0373
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/17/2024