KRISTEN MICHELLE JACOB NPI 1710487525

NPI Information

NPI: 1710487525
Provider Name: KRISTEN MICHELLE JACOB
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
775 E ELIZA ST
KENTON, OH
ZIP 43326
Phone: (419) 675-2243
Get Directions

Kristen Michelle Jacob is a peer specialist in Kenton, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kristen Michelle Jacob NPI is 1710487525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

775 E ELIZA ST
KENTON, OH
ZIP 43326-486
Phone: (419) 675-2243
Fax: (419) 674-4661

The enumeration date for this NPI number is 2/19/2018 and was last updated on 2/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist			CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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