DR. MARY R JACOB (NPI# 1396776571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396776571 |
| Entity Type | Individual |
| Full Name | DR. MARY R JACOB |
| Credential | ARNP |
| Practice Address |
1600 S Orlando Ave Winter Park FL 32789-5547 |
| Practice Telephone | 4076444692 |
| Mailing Telephone | 4076444692 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
ARNP 1859582 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425982 | Mary Deena Jacob | Nurse Practitioner | 2865 Mcdermott Rd #225, Plano, TX 75025 | 2019-03-05 |
| 1124537667 | Mary Jacob | Dentist | 334 Broadway, Revere, MA 02151-5016 | 2017-09-27 |
| 1164774071 | Mary Jacob | Pharmacist | 16 S Waukegan Rd, Deerfield, IL 60015-5216 | 2012-10-03 |
| 1225321755 | Mary Sunny Jacob | Emergency Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2011-05-17 |
| 1194741041 | Mary Ann Jacob | Pediatrics | 2841 Debarr Rd, Suite 45, Anchorage, AK 99508-2932 | 2006-07-14 |
| 1659348399 | Mary Anne Jacob | Obstetrics & Gynecology | 6545 France Avenue South, Suite 540, Edina, MN 55435 | 2006-03-01 |
| 1083612246 | Mary Casey Jacob | Psychologist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-07-12 |
| Street Address |
1600 S ORLANDO AVE |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962430868 | Roy Richard Armstrong Jr. | Counselor | 1600 S Orlando Ave, Winter Park, FL 32789-5547 | 2006-06-29 |
| 1649201856 | David Gardner Tweed | Counselor | 1600 S Orlando Ave, Winter Park, FL 32789-5547 | 2006-07-05 |
| 1740218494 | Melvin R. Jacob | Marriage & Family Therapist | 1600 S Orlando Ave, Winter Park, FL 32789-5547 | 2006-06-30 |
| 1518995257 | Maryjo Hoard | Social Worker | 1600 S Orlando Ave, Winter Park, FL 32789-5547 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801101845 | Nancy J. Miller-houck | Clinical Nurse Specialist | 566 W Marion Ave, Punta Gorda, FL 33950-4439 | 2010-08-14 |
| 1942538046 | Mary Ann Spencer Legler | Clinical Nurse Specialist | 2027 Manatee Ave W, Bradenton, FL 34205-5836 | 2009-12-01 |
| 1245422013 | Lacara L. Mckay | Clinical Nurse Specialist | 4095 State Road 7 Ste 127, Lake Worth, FL 33449-8178 | 2007-08-15 |
| 1093929234 | Parool Desai | Clinical Nurse Specialist | 2055 Military Trl Ste 306, Jupiter, FL 33458-7816 | 2007-05-09 |
| 1659473387 | Kathleen E Piscani | Clinical Nurse Specialist | 14360 Iroquois Ave, Largo, FL 33774-4405 | 2006-09-02 |
| 1285679340 | Linzey Faison Mental Health Associates Inc | Clinical Nurse Specialist | 501 S Bolivar St, Chattahoochee, FL 32324-1347 | 2006-06-20 |
| 1487293296 | Michael Boas | Clinical Nurse Specialist | 919 Ne 13th St, Ft Lauderdale, FL 33304-2009 | 2019-12-26 |
| 1952855330 | Amy Frantz | Clinical Nurse Specialist | 13279 N Cleveland Ave, Fort Myers, FL 33903 | 2016-08-15 |
| 1497123319 | Dr Luisa Vega Dnp LLC | Clinical Nurse Specialist | 8416 Tidal Breeze Dr, Riverview, FL 33569-4722 | 2015-09-09 |
| 1699177915 | The Alternative | Clinical Nurse Specialist | 2750 Bahia Vista St, Suite 108, Sarasota, FL 34239-2600 | 2014-09-17 |
| Find all providers with the same taxonomy | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
Please comment or provide details below to improve the information on DR. MARY R JACOB.
| 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.