Jacob Jay Dawson, LPN
Licensed Practical Nurse in Wausau, WI. Individual provider (NPI-1).
NPI number1720638166
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1720638166
- Entity type
- Individual (NPI-1)
- Name
- Jacob Jay Dawson
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2019
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 324142 | WI | Yes |
Practice location
5120 Stettin DrWausau, WI 54401-3824
Phone 715-551-6827
Mailing address
115 S 6th AveWausau, WI 54401-4516
Phone 715-401-1840
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All 39 Licensed Practical Nurse providers in Wausau · All 2,366 providers in Wausau
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