Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelica Anna Jacob

Individual provider Licensed Practical Nurse · NPI 1477104081

Angelica Anna Jacob is a Licensed Practical Nurse in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

1160 Liberty St SE
Salem, OR 97302-4143
Phone: (503) 391-9762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 201905084LPN (OR)

Record details

NPI number1477104081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESSeptember 25, 2019

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