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TYLER YVONNE JACOBS APRN
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1760053144
Individual Registrant: TYLER YVONNE JACOBS APRN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
304 N WESTBERRY ST SYLVESTER, GA 31791-2125 US
Tel: 229-463-7071 Fax: 229-463-7081
Tel: 229-463-7071 Fax: 229-463-7081
Contact information for business:
4196 HIGHWAY 62 412 STE A HARDY, AR 72542-8002 US
Tel: 870-856-1202 Fax: 870-856-2107
Tel: 870-856-1202 Fax: 870-856-2107
Registration Information:
NPI: 1760053144
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN268923 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
