MRS. WILLETTA ROZENA JACOBS ARNP NPI 1033326590

NPI Information

NPI: 1033326590
Provider Name: MRS. WILLETTA ROZENA JACOBS, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DOCTORS CARE, PA

PECOS Registration: Yes

Address:
977 KNOX ABBOTT DR
CAYCE, SC
ZIP 29033
Phone: (803) 794-0476
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MRS. Willetta Rozena Jacobs, ARNP is a family nurse practitioner in Cayce, SC with 24 years of experience. MRS. Willetta Rozena Jacobs, ARNP NPI is 1033326590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

977 KNOX ABBOTT DR
CAYCE, SC
ZIP 29033-319
Phone: (803) 794-0476
Fax: (803) 791-0971

The NPI 1033326590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 11/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R0073641	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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