Individual
MISS BRANDY LILLIAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3903 ABERDEEN AVE, COLUMBUS, OH 43219-3603
(614) 554-4038
Mailing address
3903 ABERDEEN AVE, COLUMBUS, OH 43219-3603
(614) 554-4038
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN107209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2287430
—
OH
Enumeration date
05/09/2007
Last updated
07/09/2007
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