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Angelica Anna Jacob
Licensed Practical Nurse in Salem, Oregon
NPI 1477104081

Angelica Anna Jacob is a Licensed Practical Nurse based in Salem, OR. Angelica Anna Jacob practices in Salem, OR. The NPI Number for Angelica Anna Jacob is 1477104081 and holds a License No. 201905084LPN (Oregon).

The current practice location address for Angelica Anna Jacob is 1160 Liberty St Se, Salem, OR and can be reached out via phone at 503-391-9762.

Location: 1160 Liberty St Se, Salem, OR, 97302-4143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477104081
Provider Name
Angelica Anna Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
1160 Liberty St Se, Salem, OR, 97302-4143
Phone Number
503-391-9762
Fax Number
Provider Enumeration Date
09/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1160 Liberty St Se
City
Salem
State
Oregon
Zip
97302-4143
Phone Number
503-391-9762
Fax Number
person
Provider Business Mailing Address Details
Address
1160 Liberty St Se
City
Salem
State
Oregon
Zip
97302-4143
Phone Number
503-391-9762
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
201905084LPN (Oregon)
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.
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