Tina Lynne Jacobs in Bloomington - Nurse Practitioner
Tina Lynne Jacobs - NPI 1457515884
Tina Lynne Jacobs is a Nurse Practitioner in Bloomington, Indiana. Tina Lynne Jacobs practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tina Lynne Jacobs is 1457515884. The last update date is 2013-05-29.
Tina Lynne Jacobs's current location address is 550 S Landmark Ave, Bloomington, Indiana. You can contact this provider via phone number 8123303688 and fax number 8123553270. The mailing address for Tina Lynne Jacobs is 550 S Landmark Ave, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Lynne Jacobs |
|---|---|
| Address | 550 S Landmark Ave, Bloomington, Indiana |
| Phone Number | 8123303688 |
| Fax Number | 8123553270 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1457515884 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2013-05-29 |
Provider Mailing Address Detail
| Address | 550 S Landmark Ave |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474033239 |
| Phone Number | 8123303688 |
| Fax Number | 8123553270 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71002683A |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200903450 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tina Lynne Jacobs by the Centers for Medicare & Medicaid Services?
The Tina Lynne Jacobs has been assigned the NPI (National Provider Identifier) 1457515884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Tina Lynne Jacobs is geographically located?
The Tina Lynne Jacobs is physically situated at the following location: 550 S Landmark Ave, Bloomington, IN, 474033239.
What is the area of specialization for Tina Lynne Jacobs, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tina Lynne Jacobs is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did Tina Lynne Jacobs receive its 1457515884 assignment from the Centers for Medicare & Medicaid Services?
The Tina Lynne Jacobs was assigned its 1457515884 on 2008-07-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Tina Lynne Jacobs most recently updated or revised?
The information pertaining to Tina Lynne Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-29.