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NPI Code Detail

MEDICARE: MS. LEKISHA HOPE JACOBS RN

MEDICARE: MS. LEKISHA HOPE JACOBS RN
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 Nurse172924NC

General Provider Information

NPI Number : 1376494740
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LEKISHA HOPE JACOBS RN
Provider Business Mailing Address
First Line : 255 E PACES FERRY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30305-2233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 255 E PACES FERRY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30305-2233
Country : US
Telephone Number : 336-455-4691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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