Provider Demographics
NPI:1780024521
Name:LARVADAIN JACOBS, APRIL (NP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:
Last Name:LARVADAIN JACOBS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:LARVADAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 319
Mailing Address - Street 2:
Mailing Address - City:BELLE ROSE
Mailing Address - State:LA
Mailing Address - Zip Code:70341-0319
Mailing Address - Country:US
Mailing Address - Phone:225-235-0028
Mailing Address - Fax:
Practice Address - Street 1:7777 BLUEBONNET BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1632
Practice Address - Country:US
Practice Address - Phone:225-235-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07250363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily