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NPI Code Detail

MEDICARE: JACOB SECOR

MEDICARE: JACOB SECOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse355812NC

General Provider Information

NPI Number : 1043154958
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB SECOR
Provider Business Mailing Address
First Line : 10 DUKE MEDICINE CIR
Second Line :
City : DURHAM
State : NC
Zip : 27710-1000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 DUKE MEDICINE CIR
Second Line :
City : DURHAM
State : NC
Zip : 27710-1000
Country : US
Telephone Number : 919-610-4750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ JACOB SECOR ” Practice Location

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