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Contact Information

ANDREA JACOBS
4709 HARFORD RD STE 27
BALTIMORE, MD21214-3205
 Phone: 443-527-0875
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Emergency Medical Technician, Basic

146N00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for ANDREA JACOBS · (Female)

NPI Number 1497697817
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2026
Last updated 04/06/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • MD License # 0203627
  • MD License # HCSA-01098
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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