Individual provider · Type 1 NPI

Mary Jacobs, LPN

Licensed Practical Nurse · Gainesville, FL

NPI number 1093107112 Active

Practice location

3810 NE 14th St
Gainesville, FL 32609-2413

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5172646 (FL)

Licensed Practical Nurse: An individual 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.

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About NPI 1093107112

Mary Jacobs, LPN's National Provider Identifier is 1093107112, issued on Feb 26, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gainesville, FL. The record was last updated on Feb 26, 2015.