Jacobs, Glenda R.

Jacobs, Glenda R. is an individual health care provider with primary practice located at 4750 Waters Ave Suite 452, Savannah GA 31404-6200. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Jacobs, Glenda R. can be contacted via phone (912) 350-5909.

Contact Information

Primary practice address
4750 Waters Ave Suite 452 Savannah GA 31404-6200
Phone: (912) 350-5909
Fax: (912) 350-5914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN029458 Georgia

Profile Details

NPI number 1326350463
LBN Legal business name Jacobs, Glenda R.
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Feb 7th, 2011 - about 13 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 1326350463 NPPES
Georgia MEDICAID 885842548A
Georgia Other P00869908
Georgia Other 569140

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