Individual provider · Type 1 NPI

Jacob Dylan Luke, RN

Medical Specialty Clinic/Center · Placerville, CA

NPI number 1114780764 Active

Practice location

935B Spring St
Placerville, CA 95667-4523

Call (530) 621-6213 Map

Mailing address

1891 Cedar Oak Rd
Placerville, CA 95667-7883

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X95345401 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

64 other providers at this address

About NPI 1114780764

Jacob Dylan Luke, RN's National Provider Identifier is 1114780764, issued on Feb 5, 2024. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Placerville, CA. The record was last updated on Feb 5, 2024.