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

Sally Jacob

Individual provider Registered Nurse · NPI 1699630392

Sally Jacob is a Registered Nurse in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2025.

Licensed in
WV
In the registry since
2025

Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-4168
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 91602 (WV)

Record details

NPI number1699630392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

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