Individual
ERICA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
128 WOODLAND DR, LA PLACE, LA 70068-5939
(985) 651-3777
Mailing address
5440 BUNDY RD, NEW ORLEANS, LA 70127-3034
(504) 382-2732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20160302
LA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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