IndividualActive
Gerhard Jakubowski, RN , BSN, CFRN
NPI 1578073805 · Emergency Registered Nurse · Polacca, AZ
Provider details
- NPI number
- 1578073805
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN , BSN, CFRN
- Sex
- Male
- Sole proprietor
- No
- License
- RN104727 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
Po Box 4000
Polacca, AZ 86042-4000
Phone: (928) 737-6000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4000
Polacca, AZ 86042-4000
Registry dates
- Enumerated
- 2017-09-29
- Last updated
- 2017-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.