MS. ANGIE LYNN JACOBS LPN NPI 1972385292

NPI Information

  • NPI: 1972385292
  • Provider Name: MS. ANGIE LYNN JACOBS, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: CROSSROADS TREATMENT CENTERS
    209 OCONEE SQUARE DR
    SENECA, SC
    ZIP 29678
  • Phone: (800) 805-6989

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NPI Details

MS. Angie Lynn Jacobs, LPN is a licensed practical nurse in Seneca, SC. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MS. Angie Lynn Jacobs, LPN NPI is 1972385292. 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:

CROSSROADS TREATMENT CENTERS
209 OCONEE SQUARE DR
SENECA, SC
ZIP 29678
Phone: (800) 805-6989

The enumeration date for this NPI number is 10/20/2023 and was last updated on 10/20/2023.

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
1164W00000XLicensed Practical Nurse46446SOUTH CAROLINAYes

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: 11/21/2025

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