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

Q: What is Mary Jacobsen's NPI number?

The NPI number for Mary Jacobsen is 1154590511. It was assigned to this individual provider in the NPPES registry on February 29, 2008.

Q: What is Mary Jacobsen'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 Mary Jacobsen was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 February 29, 2008

2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953(321) 639-5787(321) 454-7115 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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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Other Providers at the Same Location NPPES 20

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

NANCY STEFAN SELF RN

Registered Nurse (School)