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1033778634
TONYA TANISHA JACOBS
ORLANDO, FL
NPI
1033778634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11002648)
Enumeration Date
2019-06-07
Last Update Date
2023-06-05
Business Address
TONYA TANISHA JACOBS APRN, FNP-C
2415 N ORANGE AVE STE 402
ORLANDO, FL 32804-5505
Phone number: 407-622-0560
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Mailing Address
TONYA TANISHA JACOBS APRN, FNP-C
1565 SAXON BLVD STE 203
DELTONA, FL 32725-5836
Phone number:
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