Deloris M Jacobs in Burkesville - Nurse Practitioner
Deloris M Jacobs - NPI 1154460467
Deloris M Jacobs is a Nurse Practitioner in Burkesville, Kentucky. Deloris M Jacobs practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Deloris M Jacobs is 1154460467. The last update date is 2023-08-25.
Deloris M Jacobs's current location address is Po Box 1080, Burkesville, Kentucky. You can contact this provider via phone number 2708586655 and fax number 2708584607. The mailing address for Deloris M Jacobs is Po Box 1080, Burkesville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deloris M Jacobs |
|---|---|
| Address | Po Box 1080, Burkesville, Kentucky |
| Phone Number | 2708586655 |
| Fax Number | 2708584607 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1154460467 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2023-08-25 |
Provider Mailing Address Detail
| Address | Po Box 1080 |
|---|---|
| City | Burkesville |
| State | Kentucky (KY) |
| Post Code | 427171080 |
| Phone Number | 2708586655 |
| Fax Number | 2708584607 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4861P |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11716456 | CAQH | ||
| 7100144180 | KY | -- |
Post Comment/ Review Below
What is the Deloris M Jacobs's 1154460467?
The Deloris M Jacobs's NPI (National Provider Identifier) Number is 1154460467. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Deloris M Jacobs?
The Deloris M Jacobs is situated at Po Box 1080, in the city of Burkesville, state of KY, with the zip code 427171080.
What is the Deloris M Jacobs's specialty and taxonomy code?
The Deloris M Jacobs's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Deloris M Jacobs receive its 1154460467 assignment from the Centers for Medicare & Medicaid Services?
The Deloris M Jacobs was assigned its 1154460467 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date was the information pertaining to Deloris M Jacobs, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Deloris M Jacobs, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-25.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC