JERMAINE JACOBS (NPI# 1063958874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063958874 |
| Entity Type | Individual |
| Full Name | JERMAINE JACOBS |
| Practice Address |
2918 11th St Port Arthur TX 77642-4801 |
| Practice Telephone | 4095431799 |
| Mailing Telephone | 4095431799 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
2918 11TH ST |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801998 | Sharonfa Lee Hardy | Driver | 7706 Darnay Dr, Houston, TX 77033-3534 | 2020-11-05 |
| 1265032767 | Lynkup Transport Corp. | Driver | 3301 N 3rd St Ste 116, Abilene, TX 79603-7054 | 2020-10-26 |
| 1568062990 | Esayas Milaki | Driver | 6236 Horton Cir Apt 36a, Fort Worth, TX 76133-3765 | 2020-10-26 |
| 1063010403 | Ramiahtrans LLC | Driver | 1326 S 11th St, Waco, TX 76706-6712 | 2020-10-16 |
| 1841807740 | Tabatha Dawn Holloway | Driver | 2814 Loma Linda Ln, Wichita Falls, TX 76308-4716 | 2020-09-25 |
| 1982219820 | Yolonda C Brown | Driver | 3675 Lake Bend Shore Dr, Spring, TX 77386-4553 | 2020-09-08 |
| 1336752229 | Meosha S Lewis | Driver | 430 Town Creek Dr, Dallas, TX 75232-1649 | 2020-08-28 |
| 1982217436 | Mann On The Run | Driver | 4747 Research Forest Dr Ste 180182, The Woodlands, TX 77381-4912 | 2020-08-25 |
| 1427660240 | Charmette Jones | Driver | 1503 Mustang Lake Ct, Richmond, TX 77406-7963 | 2020-08-21 |
| 1962013755 | Carrie A Mitchell | Driver | 12515 Ashford Riv, Houston, TX 77072-5662 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
Please comment or provide details below to improve the information on JERMAINE JACOBS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.