Jacobs, Desha Perry

Jacobs, Desha Perry is an individual health care provider with primary practice located at 4505 Sages Ave , Indian Trail NC 28079-6621. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Jacobs, Desha Perry can be contacted via phone (704) 493-2087.

Contact Information

Primary practice address
4505 Sages Ave Indian Trail NC 28079-6621
Phone: (704) 493-2087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 164318 North Carolina

Profile Details

NPI number 1275973612
LBN Legal business name Jacobs, Desha Perry
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2013
Last updated Jul 12th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275973612 NPPES
North Carolina Other 2092-0582 NATIONAL CERTIFICATION BOARD FOR DIABETIC EDUCATORS

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