KELLY JACOBS
NPI 1003157173
Licensed Practical Nurse in Toledo, OH

Q: What is Kelly Jacobs's NPI number?

The NPI number for Kelly Jacobs is 1003157173. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Q: What is Kelly Jacobs's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Jacobs was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2013

4309 289TH ST, TOLEDO, OH 43611(419) 276-0147 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Jacobs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JACOBS (NPI 1003157173) is an individual licensed practical nurse in Toledo, Ohio, licensed in Ohio (PN152353) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1003157173

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKELLY JACOBS

Location Address4309 289TH STToledo, OH 43611-2908

Mailing Address4309 289th StToledo, OH 43611-2908 · (419) 276-0147

Phone(419) 276-0147

Sole ProprietorYes

Enumeration DateMarch 13, 2013

✔ NPI 1003157173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN152353

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4309 289TH ST, Toledo, OH 43611

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Jacobs's NPI number?

The NPI number for Kelly Jacobs is 1003157173. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Kelly Jacobs located?

Kelly Jacobs practices at 4309 289th St, Toledo, OH 43611. The listed phone number is (419) 276-0147.

What is Kelly Jacobs's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Jacobs was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.