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MARY JACOBS LPN
NPI 1093107112
Licensed Practical Nurse in Gainesville, FL

Active since February 26, 2015
3810 NE 14TH ST, GAINESVILLE, FL 32609(904) 236-1438 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jacobs Lpn NPPES

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

MARY JACOBS LPN (NPI 1093107112) is an individual licensed practical nurse in Gainesville, Florida, licensed in Florida (PN5172646) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1093107112
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY JACOBSCredential: LPN
Location Address3810 NE 14TH STGainesville, FL 32609-2413
Mailing Address3810 Ne 14th StGainesville, FL 32609-2413 · (904) 236-1438
Phone(904) 236-1438
Sole ProprietorNo
Enumeration DateFebruary 26, 2015
✔ NPI 1093107112 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 FL · PN5172646
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.
3810 NE 14TH ST, Gainesville, FL 32609
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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 Mary Jacobs's NPI number?

The NPI number for Mary Jacobs is 1093107112. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Where is Mary Jacobs located?

Mary Jacobs practices at 3810 NE 14th St, Gainesville, FL 32609. The listed phone number is (904) 236-1438.

What is Mary 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 Mary Jacobs was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.