1. Home
  2. Directory
  3. Pennsylvania
  4. Port Matilda
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JACOB DEAN
NPI 1124550959
Student in an Organized Health Care Education/Training Program in Port Matilda, PA

Active since March 30, 2017
257 MARYSVILLE LN, PORT MATILDA, PA 16870(814) 327-9507 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Dean NPPES

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

JACOB DEAN (NPI 1124550959) is an individual student in an organized health care education/training program in Port Matilda, Pennsylvania and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1124550959
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB DEAN
Location Address257 MARYSVILLE LNPort Matilda, PA 16870-7230
Mailing Address257 Marysville LnPort Matilda, PA 16870-7230 · (814) 327-9507
Phone(814) 327-9507
Sole ProprietorYes
Enumeration DateMarch 30, 2017
Last NPPES UpdateApril 3, 2017
✔ NPI 1124550959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
257 MARYSVILLE LN, Port Matilda, PA 16870
Open in Google Maps ↗

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 Jacob Dean's NPI number?

The NPI number for Jacob Dean is 1124550959. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Jacob Dean located?

Jacob Dean practices at 257 Marysville Ln, Port Matilda, PA 16870. The listed phone number is (814) 327-9507.

What is Jacob Dean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Dean was last updated on April 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.