Individual provider · Type 1 NPI

Mattie Grace Jacobs

Student in an Organized Health Care Education/Training Program · Bastrop, LA

NPI number 1134950520 Active

Practice location

323 W Walnut Ave
Bastrop, LA 71220-4521

Mailing address

7689 Westlake Rd
Sterlington, LA 71280-3231

Other practice locations

  • 1605 Stubbs Ave, Monroe, LA 71201-5629 · (318) 388-8414

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

14 other providers at this address

Other student in an organized health care education/training program providers in Bastrop

See all in Bastrop →

About NPI 1134950520

Mattie Grace Jacobs's National Provider Identifier is 1134950520, issued on Aug 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bastrop, LA. The record was last updated on Aug 8, 2024.