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MATTIE GRACE JACOBS
NPI 1134950520
Student in an Organized Health Care Education/Training Program in Bastrop, LA

Active since August 08, 2024
323 W WALNUT AVE, BASTROP, LA 71220(318) 283-3600 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mattie Grace Jacobs NPPES

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

MATTIE GRACE JACOBS (NPI 1134950520) is an individual student in an organized health care education/training program in Bastrop, Louisiana and active in the NPI registry since August 2024. She maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1134950520
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMATTIE GRACE JACOBS
Location Address323 W WALNUT AVEBastrop, LA 71220-4521
Mailing Address7689 Westlake RdSterlington, LA 71280-3231 · (318) 381-7320
Phone(318) 283-3600
Sole ProprietorNo
Enumeration DateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1134950520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

323 W WALNUT AVE, Bastrop, LA 71220
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Secondary Practice Location 1

Location 11605 Stubbs AveMonroe, LA 71201-5629 · Phone (318) 388-8414

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOREHOUSE HYPERBARIC MEDICINE PROVIDERS, LLC
Legal Medicine
323 W WALNUT AVE
BASTROP, LA 71220
Morehouse Parish (318) 283-3896
YOLANDA LAFAYE STARR FNP-BC
Nurse Practitioner (Family)
323 W WALNUT AVE
BASTROP, LA 71220
Morehouse Parish (318) 283-3852
MRS. APRIL D TEMPLE RD, LDN
Dietitian, Registered
323 W WALNUT AVE
BASTROP, LA 71220
Morehouse Parish (318) 283-3705
SHANNON L GRANTHAM LCSW
Social Worker (Clinical)
323 W WALNUT AVE
BASTROP, LA 71220
Morehouse Parish (318) 665-9950
CHUKWUDI B UCHENDU M.D.
Family Medicine
323 W WALNUT AVE
BASTROP, LA 71220
Morehouse Parish (318) 283-3600
MOREHOUSE GENERAL HOSPITAL
Psychiatric Unit
323 W WALNUT AVE
BASTROP, LA 71220
Morehouse Parish (318) 283-3601
MRS. KAREN HARTELY KERRIGAN NP
Nurse Practitioner (Pediatrics)
323 W WALNUT AVE
BASTROP, LA 71220
Morehouse Parish (318) 283-3600
JOY RENEE HUGGINS NP
Nurse Practitioner (Acute Care)
323 W WALNUT AVE
BASTROP, LA 71220
Morehouse Parish (318) 283-3910

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 Mattie Jacobs's NPI number?

The NPI number for Mattie Jacobs is 1134950520. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Mattie Jacobs located?

Mattie Jacobs practices at 323 W Walnut Ave, Bastrop, LA 71220. The listed phone number is (318) 283-3600.

What is Mattie Jacobs'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 Mattie Jacobs was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.