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

Jacob Fancher

Individual provider Rehabilitation Counselor · NPI 1104461367

Jacob Fancher is a Rehabilitation Counselor in Edmonton, Kentucky. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

112 Sartin Dr
Edmonton, KY 42129-8170
Phone: (270) 901-5000
Fax: (270) 842-5268
Show map & directions

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

Specialties & licences

Rehabilitation Counselor (primary) Taxonomy 225C00000X

Record details

NPI number1104461367
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 12, 2019
Last updated in NPPESNovember 12, 2019
Mailing address380 Suwannee Trail St, Bowling Green, KY 42103-7956

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