Individual provider · Type 1 NPI

Tanisha Jacobs, LPN

Licensed Practical Nurse · Brooklyn, NY

NPI number 1114367844 Active

Practice location

295 Flatbush Avenue Ext
Brooklyn, NY 11201-3001

Mailing address

1483 Lincoln Pl, Apt 15
Brooklyn, NY 11213-4150

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X281812 (NY)

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 1114367844

Tanisha Jacobs, LPN's National Provider Identifier is 1114367844, issued on Jun 26, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 26, 2013.