STEPHANIE JACOBSON

AUGUSTA, GA
NPI1467748830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN225668)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: SC  17501)
Enumeration Date2011-06-23
Last Update Date2014-12-11
Business Address
-- STEPHANIE JACOBSON FNP
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-724-6100
Mailing Address
-- STEPHANIE JACOBSON FNP
1499 WALTON WAY STE. 1400
AUGUSTA, GA 30901-2602
Phone number: 706-724-6100