Individual provider · Type 1 NPI
Marylou Jacobo, CNA
Nurse's Aide · Phoenix, AZ
Practice location
10401 N Cave Creek Rd Lot 306
Phoenix, AZ 85020-1601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide Primary | 376K00000X | 1000026769 (AZ) |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
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About NPI 1811584451
Marylou Jacobo, CNA's National Provider Identifier is 1811584451, issued on Dec 29, 2020. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 29, 2020.