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

Jacori Sadie Habtom

Individual provider Licensed Vocational Nurse · NPI 1871082040

Jacori Sadie Habtom is a Licensed Vocational Nurse in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

101 Gough St
San Francisco, CA 94102-5903
Phone: (510) 553-4490
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 259652 (CA)

Record details

NPI number1871082040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2018
Last updated in NPPESMay 3, 2018

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