Mary Jacobs LPN

NPI 1093107112 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1093107112
Gender Female
Enumeration Date 02/26/2015
Last Updated 02/26/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3810 NE 14TH ST
GAINESVILLE FL, 32609-2413, US
Phone (904) 236-1438
Fax
Business Location
3810 NE 14TH ST
GAINESVILLE FL, 32609-2413, US
Phone (904) 236-1438
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Florida
License Number PN5172646
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According to our database, Mary Jacobs LPN NPI is 1093107112, taxonomy code is 164W00000X and license number is PN5172646, license state is located at Florida. Mary Jacobs LPN physically located at 3810 Ne 14th St, Gainesville FL, 32609-2413. NPI Number Mary Jacobs LPN has the Individual type.

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1093107112 NPI number is provided on an as is basis without warranty of any kind. 1093107112 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jacobs LPN are for informational purposes only.