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

Jacob Dylan Luke, RN

Individual provider Medical Specialty Clinic/Center · NPI 1114780764

Jacob Dylan Luke, RN is a Medical Specialty Clinic/Center in Placerville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

935B Spring St
Placerville, CA 95667-4523
Phone: (530) 621-6213
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 95345401 (CA)

Record details

NPI number1114780764
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024
Mailing address1891 Cedar Oak Rd, Placerville, CA 95667-7883