Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kayla Jacobs

Individual provider Medical Physician Assistant · NPI 1205476165

Kayla Jacobs is a Medical Physician Assistant in Pembroke, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

812 Candy Park Rd
Pembroke, NC 28372-9120
Phone: (910) 521-0201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Liberty Hill Rd, Lumberton, NC 28358-2446 — (910) 739-3318

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09695 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-09695 (NC)

Record details

NPI number1205476165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2020
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020
Mailing address1153 Red Hill Rd, Maxton, NC 28364-8085

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