MR. Ian Terrell Jacobs, LPN
NPI #1912562448 in White Plains, New York
Provider Information
- NPI Number
- 1912562448
- Entity Type
- Individual
- Name
- MR. Ian Terrell Jacobs, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 9, 2019
- Last Updated
- May 9, 2019
Practice Location
- Address
- 4 GRANADA CRES APT 19
- City
- White Plains
- State
- New York
- ZIP Code
- 10603-1237
- Phone
- (718) 431-5167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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