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MR. SAMUEL JACOBS LPN
NPI 1164782389
Licensed Practical Nurse in Burtonsville, MD

Active since May 22, 2012
4348 LEATHERWOOD TER, BURTONSVILLE, MD 20866(240) 418-5609 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Jacobs Lpn NPPES

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

MR. SAMUEL JACOBS LPN (NPI 1164782389) is an individual licensed practical nurse in Burtonsville, Maryland, licensed in District Of Columbia (LPN1005338) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1164782389
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. SAMUEL JACOBSCredential: LPN
Location Address4348 LEATHERWOOD TERBurtonsville, MD 20866-1329
Mailing Address4348 Leatherwood TerBurtonsville, MD 20866-1329 · (240) 418-5609
Phone(240) 418-5609
Sole ProprietorYes
Enumeration DateMay 22, 2012
✔ NPI 1164782389 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 DC · LPN1005338
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.
4348 LEATHERWOOD TER, Burtonsville, MD 20866
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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 Samuel Jacobs's NPI number?

The NPI number for Samuel Jacobs is 1164782389. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Samuel Jacobs located?

Samuel Jacobs practices at 4348 Leatherwood Ter, Burtonsville, MD 20866. The listed phone number is (240) 418-5609.

What is Samuel 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 Samuel Jacobs was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.