IndividualActive
Jacob Dawson, LPN
NPI 1720638166 · Licensed Practical Nurse · Wausau, WI
Provider details
- NPI number
- 1720638166
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 324142 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5120 Stettin Dr
Wausau, WI 54401-3824
Phone: (715) 551-6827
Street-level locationGet directions
Mailing address
115 S 6th Ave
Wausau, WI 54401-4516
Registry dates
- Enumerated
- 2019-09-17
- Last updated
- 2019-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.