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NPI Code Detail

MEDICARE: MORGAN ELIZABETH JACOBS

MEDICARE: MORGAN ELIZABETH JACOBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22255A2300XAthletic Trainer

General Provider Information

NPI Number : 1538649892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN ELIZABETH JACOBS
Provider Business Mailing Address
First Line : 1445 HIGHWAY 190 E APT 3
Second Line :
City : HAMMOND
State : LA
Zip : 70401-9509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W UNIVERSITY AVE
Second Line :
City : HAMMOND
State : LA
Zip : 70401-1304
Country : US
Telephone Number : 985-549-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 08/16/2018

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Directions to “ MORGAN ELIZABETH JACOBS ” Practice Location

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