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NPI Code Detail

MEDICARE: AVRIL JACOBS

MEDICARE: AVRIL 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
1164X00000XLicensed Vocational Nurse304858TX

General Provider Information

NPI Number : 1689152480
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVRIL JACOBS
Provider Business Mailing Address
First Line : PO BOX 964
Second Line :
City : UVALDE
State : TX
Zip : 78802-0964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8610 N NEW BRAUNFELS AVE STE 405
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-6358
Country : US
Telephone Number : 210-804-0193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2018
Last Update Date : 08/02/2018

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Directions to “ AVRIL JACOBS ” Practice Location

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