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

Kelley Wallace Jacobs, DNP/FNP

Individual provider Primary Care Nurse Practitioner · NPI 1952721672

Kelley Wallace Jacobs, DNP/FNP is a Nurse Practitioner in Dillon, South Carolina. Qualified in 2014, 12 years ago. Practices with Dillon Internal Medicine Associates PA, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2014

Practice location Address checks out

705 N 8th Ave Ste 1A
Dillon, SC 29536-2549
Phone: (843) 774-2478
Fax: (843) 774-1826
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 18972 (SC)

Record details

NPI number1952721672
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP/FNP
Sole proprietorNo
NPI enumeratedApril 21, 2014
Last updated in NPPESJuly 28, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Dillon Internal Medicine Associates Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Dillon