Individual provider · Type 1 NPI

Mary Jacobsen, LPN

Licensed Practical Nurse · Merritt Island, FL

NPI number 1154590511 Active

Practice location

2575 N Courtenay Pkwy
Merritt Island, FL 32953-4126

Call (321) 639-5787 Map

Fax (321) 454-7115

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN645881 (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 1154590511

Mary Jacobsen, LPN's National Provider Identifier is 1154590511, issued on Feb 29, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Merritt Island, FL. The record was last updated on Feb 29, 2008.