Jacobs, Sandra

Jacobs, Sandra is an sole proprietor health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Jacobs, Sandra can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Phone: (614) 722-2000
Fax: (614) 722-4565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X RN190931 NP3893 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.03893 Ohio

Profile Details

NPI number 1215924956
LBN Legal business name Jacobs, Sandra
Credentials RN CPNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Dec 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215924956 NPPES
Kentucky MEDICAID 78012903
Kentucky MEDICAID 2246500
Kentucky MEDICAID 7102084000

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