LYNANNE JACOB R.N. NPI 1821367160

NPI Information

  • NPI: 1821367160
  • Provider Name: LYNANNE JACOB, R.N.
  • Classification: Registered Nurse - 163WC1400X
  • Specialization: College Health
  • Entity Type: Individual
  • Address: 2222 BANCROFT WAY
    BERKELEY, CA
    ZIP 94720
  • Phone: (510) 642-1814

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NPI Details

Lynanne Jacob, R.N. is a college health registered nurse in Berkeley, CA. Lynanne Jacob, R.N. NPI is 1821367160. 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:

2222 BANCROFT WAY
BERKELEY, CA
ZIP 94720-301
Phone: (510) 642-1814
Fax: (510) 643-2997

The enumeration date for this NPI number is 12/15/2011 and was last updated on 12/15/2011.

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
1163WC1400XRegistered NurseCollege Health214049CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

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