IndividualActive
Sarah Jacob, LPN, LMP
NPI 1568229573 · Nursing Care Agency · Shelton, WA
Provider details
- NPI number
- 1568229573
- Entity type
- Individual
- Primary specialty
- Nursing Care AgencyAgencies
- Credential
- LPN, LMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP00052241 (WA)
Specialties & taxonomies
Agencies
Practice location
307 W Cota St
Shelton, WA 98584-2265
Phone: (360) 205-8001
Approximate (ZIP-level) locationGet directions
Mailing address
2710 Schirm Loop Rd Nw
Olympia, WA 98502-9303
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.