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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL JACOBS, LPN

Active Sole Proprietor

MR. SAMUEL JACOBS, LPN is a Licensed Practical Nurse healthcare provider located in BURTONSVILLE, Maryland. NPI 1164782389 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BURTONSVILLE, MD

Registration Details

NPI Number
1164782389
Provider Type
Individual
Gender
Male
NPI Issued
May 22, 2012 (14.222588275925 yrs)
Last Updated
May 22, 2012
License
LPN1005338 (DC)
Sole Proprietor
Yes

Practice Information

Address
4348 LEATHERWOOD TER
BURTONSVILLE, MD, 208661329
Browse MD providers · Browse ZIP 20866
Phone
2404185609
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BURTONSVILLE, MD

Name Credential NPI
MARGARET FRI NDI 1417216029
EMMANUEL ADEYEMI SHAW LPN 1093565236
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.