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Contact Information

GLENDA R JACOBS, RN, CDE
4750 WATERS AVE
SUITE 452
SAVANNAH, GA31404-6200
 Phone: 912-350-5909
 Fax: 912-350-5914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for GLENDA R JACOBS · (Female)

NPI # 1326350463
Status Active
Credentials RN, CDE
Entity Individual
Enumeration date 07/06/2010
Last updated 02/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN029458
  • GA Medicaid 885842548A
  • GA Other P00869908 RR MEDICARE
  • GA Other 569140 WELLCARE
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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