Individual
MARIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 EDGAR ST, MARKSVILLE, LA 71351-2819
(346) 302-6556
Mailing address
317 EDGAR ST, MARKSVILLE, LA 71351-2819
(346) 302-6556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
20110198
LA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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