Individual
ANDREA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4709 HARFORD RD STE 27, BALTIMORE, MD 21214-3205
(443) 527-0875
Mailing address
4709 HARFORD RD STE 27, BALTIMORE, MD 21214-3205
(443) 527-0875
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0203627
MD
251J00000X
Nursing Care Agency
HCSA-01098
MD
374U00000X
Home Health Aide
Primary
HCSA-01098
MD
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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