Mearse, Jacob Matthew

Mearse, Jacob Matthew is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as his primary health care specialty. Mearse, Jacob Matthew can be contacted via phone (912) 248-5574.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (912) 248-5574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP60764784 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 131123 Montana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN001886 Nevada

Profile Details

NPI number 1518362664
LBN Legal business name Mearse, Jacob Matthew
Credentials DNP, CNM, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2014
Last updated Oct 21st, 2022 - about 3 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 1518362664 NPPES
Washington MEDICAID 2146676

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