MRS. MARY ELLEN JACOBS


Address: 2408 3rd Ave, Toms River, NJ 08753-6143
Phone: 7322880394

MRS. MARY ELLEN JACOBS (NPI# 1770846883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770846883
Entity Type Individual
Full Name MRS. MARY ELLEN JACOBS
Credential RN, BSN, CCM
Practice Address 2408 3rd Ave
Toms River
NJ 08753-6143
Practice Telephone 7322880394
Practice Fax Number 8667390106
Mailing Telephone 7326446664
Enumeration Date 2012-06-22
Last Update Date 2012-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
26NO10334200 NJ Nursing Service Providers

Office Location

Street Address 2408 3RD AVE
City TOMS RIVER
State NJ
Zip Code 08753-6143

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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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1972010866 Kathryn Mary Flynn Registered Nurse 671 Cypress Point Dr, Egg Harbor City, NJ 08215-5124 2018-01-02
1093258576 Diane L Donahue Registered Nurse 61 Western Dr, Howell, NJ 07731-2727 2016-12-01
1356706964 Lisa Joy Fetchko Registered Nurse 23 Primrose Pl, Delran, NJ 08075-2818 2015-12-24
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1346471307 Deborah Lynn Magnin Registered Nurse 37 Junior Ave, Bellmawr, NJ 08031-2117 2009-08-07
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Competitor

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City TOMS RIVER
Zip Code 08753

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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