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