Individual
HEATHER NICOLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9445 ROAD 180, PAULDING, OH 45879-8741
(260) 557-3974
Mailing address
9445 ROAD 180, PAULDING, OH 45879-8741
(260) 557-3974
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
27061245A
IN
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/12/2020
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