Bobbie Jo Jacobs, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN306550 Issued in PA

Practice address

435 Line Ave
Ellwood City, PA 16117-1120

Phone

(724) 856-0050

NPI assigned

May 15, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1265006183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 LINE AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171120",
            "telephone_number": "724-856-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LINE AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171120",
            "telephone_number": "724-856-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BOBBIE",
        "middle_name": "JO",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN306550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Hodder, MS. ED
• Michelle Hoffman, DPT, ATC, LAT
• Stephen Robert Holloway, O.D.
• Suzanne Houk, PHD
• Andrew Steven Hutchens, ATC, CSCS, CPT, CKTP
• Taylor Nicole Jeannette, PA-C
• John Allen Corporation
• Joseph H Nour MD PC
• Mary Esther Kanfoush, CRNP
• Deborah P Kasparek, CRNA

• Licensed Practical Nurse in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.