JACOB JAY DAWSON LPN
NPI 1720638166
Licensed Practical Nurse in Wausau, WI

Active since September 17, 2019
5120 STETTIN DR, WAUSAU, WI 54401(715) 551-6827 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Jay Dawson Lpn NPPES

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

JACOB JAY DAWSON LPN (NPI 1720638166) is an individual licensed practical nurse in Wausau, Wisconsin, licensed in Wisconsin (324142) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1720638166
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJACOB JAY DAWSONCredential: LPN
Location Address5120 STETTIN DRWausau, WI 54401-3824
Mailing Address115 S 6th AveWausau, WI 54401-4516 · (715) 401-1840
Sole ProprietorYes
Enumeration DateSeptember 17, 2019
NPI 1720638166 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 WI · 324142
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.
5120 STETTIN DR, Wausau, WI 54401

Other Providers at the Same Location NPPES 5

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

Registered Nurse
5120 STETTIN DR
WAUSAU, WI 54401
Licensed Practical Nurse
5120 STETTIN DR
WAUSAU, WI 54401
Registered Nurse
5120 STETTIN DR
WAUSAU, WI 54401
Licensed Practical Nurse
5120 STETTIN DR
WAUSAU, WI 54401
Licensed Practical Nurse
5120 STETTIN DR
WAUSAU, WI 54401

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 Jacob Dawson's NPI number?

The NPI number for Jacob Dawson is 1720638166. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Where is Jacob Dawson located?

Jacob Dawson practices at 5120 Stettin Dr, Wausau, WI 54401. The listed phone number is (715) 551-6827.

What is Jacob Dawson'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 Jacob Dawson was last updated on September 17, 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.