STACEY L JACOBS (NPI# 1295161933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295161933 |
| Entity Type | Individual |
| Full Name | STACEY L JACOBS |
| Credential | NP |
| Practice Address |
1319 Duncan Ave Jeffersonville IN 47130-3759 |
| Mailing Address |
1319 Duncan Ave Family Health Center Clark County Jeffersonville IN 47130-3759 |
| Practice Telephone | 8122832308 |
| Practice Fax Number | 8122832832 |
| Mailing Telephone | 8122832308 |
| Mailing Fax Number | 8122832832 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71004631B | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831239847 | Stacey Lee Jacobs | Dentist | 1313 Lorenzo, #3, Castroville, TX 78009-4532 | 2007-02-07 |
| 1881611390 | Stacey Lynn Jacobs | Dentist | 19 Broadway, Newport, RI 02840-2937 | 2006-07-17 |
| Street Address |
1319 DUNCAN AVE |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396936365 | Diana M Okon, M.d. PC | Obstetrics & Gynecology | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2007-08-06 |
| 1083263628 | Caitlyn O'neil | Nurse Practitioner | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2019-09-06 |
| 1831472133 | Bonnie Lou Clark | Nurse Practitioner | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790345981 | Lisa Wolffe | Nurse Practitioner | 9 Janes St, Jeffersonville, OH 43128-1045 | 2019-06-19 |
| 1902325756 | Beth Lynn Willison | Nurse Practitioner | 3118 E 10th St Ste B, Jeffersonville, IN 47130-5904 | 2017-09-13 |
| 1649482423 | Wellstone Nurse Practitioner Group | Nurse Practitioner | 2700 Vissing Park Road, Jeffersonville, IN 47130 | 2007-05-04 |
| 1306940820 | Elizabeth A Quinkert | Nurse Practitioner | 301 Gordon Gutmann Blvd Ste 201, Jeffersonville, IN 47130-3766 | 2006-09-13 |
| 1336180025 | James Buie | Nurse Practitioner | 302 W 14th Street, Suite 100b, Jeffersonville, IN 47130 | 2006-06-10 |
| 1578170296 | Jocelyn Korpal | Nurse Practitioner | 1002 Spring St, Jeffersonville, IN 47130-3641 | 2020-09-27 |
| 1649799040 | Emmalee R Burns | Nurse Practitioner | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2017-09-18 |
| 1962882282 | Amy Marie Cooper | Nurse Practitioner | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 | 2015-06-02 |
| 1134520133 | Elizabeth A Mills | Nurse Practitioner | 101 Hospital Blvd, Jeffersonville, IN 47130-3769 | 2014-09-09 |
| 1710230339 | Amy L Chrisman | Nurse Practitioner | 1802 E 10th St, Jeffersonville, IN 47130 | 2012-10-19 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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| 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.