MRS. SUSANNE DAVIS JACOBS (NPI# 1649249210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649249210 |
| Entity Type | Individual |
| Full Name | MRS. SUSANNE DAVIS JACOBS |
| Other Name | MS. SUSANNE MICHELLE DAVIS |
| Credential | FNP |
| Practice Address |
20 Duke Medicine Cir Durham NC 27710-2000 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
121589 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AC000568 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000378 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 DUKE MEDICINE CIR |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309607 | Tabita Tavoc | Physician Assistant | 20 Duke Medicine Cir, Durham, NC 27710-8890 | 2020-06-05 |
| 1306469986 | Nicholette Taylor Sloat | Genetic Counselor, MS | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2020-05-18 |
| 1982265369 | Rachel Pienknagura | Internal Medicine | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2019-06-26 |
| 1912482498 | Susan Faye Dent | Internal Medicine | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2018-10-01 |
| 1285158576 | Gema Gonzalez | Nurse Practitioner | 20 Duke Medicine Cir, Durham, NC 27710 | 2017-07-28 |
| 1467975375 | Margaret Alyssa Powell | Genetic Counselor, MS | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2017-07-23 |
| 1861856981 | Benjamin Brown Albright | Student in an Organized Health Care Education/Training Program | 20 Duke Medicine Cir, Durham, NC 27710-4238 | 2016-04-06 |
| 1194196477 | Amy Marie Tammenga | Nurse Practitioner | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2015-10-13 |
| 1760888770 | Jennifer Jolynn Meadows | Nurse Practitioner | 20 Duke Medicine Cir, Durham, NC 27710-8221 | 2014-11-18 |
| 1235547241 | Yeshu Conn | Nurse Practitioner | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1306460340 | Francia Elena Marin | Nurse Practitioner | 6009 Garrett Rd, Durham, NC 27707-5349 | 2020-06-05 |
| 1154959658 | Allyson Kaye-winston Scott | Nurse Practitioner | 108 Oakmont Ave, Durham, NC 27713-1558 | 2020-03-30 |
| 1245866235 | Rosalyn Carson | Nurse Practitioner | 3710 Shannon Rd # 52570, Durham, NC 27707-6327 | 2020-03-21 |
| 1730726498 | Georgia Darby Smith | Nurse Practitioner | 20 Duke Medicine Circle Clinic 2-2 Gyn-oncology, Durham, NC 27710-0001 | 2019-12-02 |
| 1639728801 | Tyra Tameka Gray | Nurse Practitioner | 225 Lodestone Dr, Durham, NC 27703-6634 | 2019-09-10 |
| 1134781453 | Godwin C Nweke | Nurse Practitioner | 3632 Ranbir Dr, Durham, NC 27713-1793 | 2019-07-08 |
| 1114586948 | Hadja Thiam | Nurse Practitioner | 40 Medicine Circle Clinic 2b, Durham, NC 27710-0001 | 2019-06-05 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1013434257 | Stephanie Howard Spaulding | Nurse Practitioner | 40 Duke Medical Cir # 1j, Durham, NC 27710-3006 | 2017-08-28 |
| Find all providers in DURHAM | ||||
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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.