Individual
ELLEN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
261 CONNECTICUT DR, SUITE 5, BURLINGTON, NJ 08016-4177
(800) 950-6066
Mailing address
11 W MILL RD, NORTHFIELD, NJ 08225-1802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP03196000
NJ
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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