ANGELICA ANNA JACOB


Address: 1160 Liberty St Se, Salem, OR 97302-4143
Phone: 5033919762

ANGELICA ANNA JACOB (NPI# 1477104081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477104081
Entity Type Individual
Full Name ANGELICA ANNA JACOB
Practice Address 1160 Liberty St Se
Salem
OR 97302-4143
Practice Telephone 5033919762
Mailing Telephone 5033919762
Enumeration Date 2019-09-25
Last Update Date 2019-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 201905084LPN OR Nursing Service Providers

Office Location

Street Address 1160 LIBERTY ST SE
City SALEM
State OR
Zip Code 97302-4143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609942143 William Lee Johansen Dentist 1160 Liberty St Se, Salem, OR 97302-4143 2006-11-27
1477168573 Kathy Dement Registered Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2020-09-15
1861017311 Susanna V Martushev Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2020-06-10
1942834312 Kimberly Ann Eichler Licensed Practical Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2020-02-25
1689225393 Rachelle Ann Vargo Licensed Practical Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2019-09-24
1699324889 Ryan Lawson Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2019-09-10
1184278707 Lisa Martinez Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2019-07-31
1477013712 Kathryn Marie Deeds Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2019-03-22
1750840781 Brandy Vazquez Licensed Practical Nurse 1160 Liberty St Se, Salem, OR 97302-4143 2019-03-19
1225595572 Jackie Renee Follis Counselor 1160 Liberty St Se, Salem, OR 97302-4143 2019-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
Find all providers in zip 97302

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669962361 Sheri Adigun Licensed Practical Nurse 10 Briar Ave, Salem, NH 03079-2635 2018-05-17
1366940702 Amelie Jane Noel Licensed Practical Nurse 4235 Wheat Ct Ne, Salem, OR 97305-2388 2018-01-31
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1295199271 Margrett Anne Simpkins Licensed Practical Nurse 1853 13th St Se, Salem, OR 97302-2577 2016-04-06
1871988485 Daphne Tadlock Licensed Practical Nurse 547 Knapp Pl Ne, Salem, OR 97301-2443 2015-03-31
1871919696 Jennifer Marinelli Licensed Practical Nurse 11300 Youngstown Salem Rd, Salem, OH 44460-7610 2014-03-17
1174948293 Terena Umberger Licensed Practical Nurse 14405 Pricetown Rd, Salem, OH 44460-9195 2014-02-26
1790108389 Bonnie Rose Plessinger Licensed Practical Nurse 9729 Egypt Rd, Salem, OH 44460-9664 2014-02-02
1881937209 Heather Lynn Tracy Licensed Practical Nurse 1137 Hampton Pl, Salem, OH 44460-1081 2013-04-03
1265781850 Desirea Lynn Counts Licensed Practical Nurse Hc 62 Box 285, Salem, MO 65560-8807 2012-08-29
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97302

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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