What is Mary Jacobsen's NPI number?

The NPI number assigned to this healthcare provider is 1154590511, enumerated as a individual on February 29, 2008.

Where is the provider located?

The provider is located at 2575 N COURTENAY PKWY MERRITT ISLAND, FL 32953 and the phone number is (321) 639-5787.

What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

MARY JACOBSEN LPN - NPI 1154590511 - Licensed Practical Nurse in Merritt Island, FL

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About Mary Jacobsen Lpn NPPES

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

MARY JACOBSEN LPN (NPI 1154590511) is an individual licensed practical nurse in Merritt Island, Florida, licensed in Florida (PN645881) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1154590511

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARY JACOBSENCredential: LPN

Location Address2575 N COURTENAY PKWYMerritt Island, FL 32953-4126

Mailing Address2575 N Courtenay PkwyMerritt Island, FL 32953-4126 · (321) 639-5787 · Fax (321) 454-7115

Phone(321) 639-5787

Fax(321) 454-7115

Sole ProprietorNo

Enumeration DateFebruary 29, 2008

✔ NPI 1154590511 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 · PN645881

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.

2575 N COURTENAY PKWY, Merritt Island, FL 32953

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