Reagan Alanee Jacobs, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fort Rucker, AL

NPI

1619577673

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

2-069611 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2020-10-29

Last updated

2020-10-29