National Provider Identifier
Amanda Jacobs
Amanda Jacobs is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Youngstown, NY and a listed phone number of (716) 425-0211.
Profile Overview
- NPI
- 1003261561
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 03, 2016
- Last Updated
- May 03, 2016
Practice Location
- 1161 Cain RD
- Youngstown, NY 14174-9768
Phone: (716) 425-0211
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1003261561
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- Amanda
- Mailing Street Address
- 1161 Cain RD
- Mailing City
- Youngstown
- Mailing State
- NY
- Mailing ZIP Code
- 14174-9768
- Mailing Country
- US
- Mailing Phone
- (716) 425-0211
- Practice Street Address
- 1161 Cain RD
- Practice City
- Youngstown
- Practice State
- NY
- Practice ZIP Code
- 14174-9768
- Practice Country
- US
- Practice Phone
- (716) 425-0211
- Enumeration Date
- May 03, 2016
- Last Updated
- May 03, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)