Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENNIE JACOBS
ActiveBENNIE JACOBS is a Home Health Aide healthcare provider located in WOODBURY, Minnesota. NPI 1730920356 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · WOODBURY, MN
Registration Details
- NPI Number
- 1730920356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2024 (2.2302790428801 yrs)
- Last Updated
- Jun 6, 2024
- License
-
1104163 (MN)
Practice Information
- Address
-
1671 CENTURY CIR APT 124WOODBURY, MN, 551252116Browse MN providers · Browse ZIP 55125
- Phone
- 6122208036
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| MR. TONY EHIMARE OMOAREBUN JR. | — | 1205590726 |
| FAISAL S YOUSIF | — | 1508614074 |
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.