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ANGELICA ANNA JACOB
NPI 1477104081
Licensed Practical Nurse in Salem, OR

Active since September 25, 2019
1160 LIBERTY ST SE, SALEM, OR 97302(503) 391-9762 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelica Anna Jacob NPPES

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

ANGELICA ANNA JACOB (NPI 1477104081) is an individual licensed practical nurse in Salem, Oregon, licensed in Oregon (201905084LPN) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1477104081
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELICA ANNA JACOB
Location Address1160 LIBERTY ST SESalem, OR 97302-4143
Mailing Address1160 Liberty St SeSalem, OR 97302-4143 · (503) 391-9762
Phone(503) 391-9762
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
✔ NPI 1477104081 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 OR · 201905084LPN
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.
1160 LIBERTY ST SE, Salem, OR 97302
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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.

REBECCA MARIE CARR
Licensed Practical Nurse
1160 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 391-9762
BONNIE ARIAS
Counselor (Addiction (Substance Use Disorder))
1160 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 391-9762
MEGAN ELIZABETH BROWN LPN
Licensed Practical Nurse
1160 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 391-9761
SAMANTHA JANE BERRY
Counselor (Addiction (Substance Use Disorder))
1160 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 391-9762
EUGENE SONG
Counselor (Addiction (Substance Use Disorder))
1160 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 854-0157
NANCY LYNN CAMPBELL
Licensed Practical Nurse
1160 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 391-9762
LISA MARTINEZ
Counselor (Addiction (Substance Use Disorder))
1160 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 391-9762
BRANDY G FOHT CADC-R
Counselor (Addiction (Substance Use Disorder))
1160 LIBERTY ST SE
SALEM, OR 97302
Marion County (503) 391-9762

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 Angelica Jacob's NPI number?

The NPI number for Angelica Jacob is 1477104081. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Angelica Jacob located?

Angelica Jacob practices at 1160 Liberty St SE, Salem, OR 97302. The listed phone number is (503) 391-9762.

What is Angelica Jacob'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 Angelica Jacob was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.