SANDRA L JACOBS (NPI# 1902044886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902044886 |
| Entity Type | Individual |
| Full Name | SANDRA L JACOBS |
| Credential | APRN-C |
| Practice Address |
1300 Tiger Blvd Clemson SC 29631 |
| Mailing Address |
1300 Tiger Blvd Clemson SC 29631-1114 |
| Practice Telephone | 8646536724 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
290 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079885 | Sandra Jacobs | Technician | 5384 Corral Ct, Las Vegas, NV 89119-2815 | 2019-08-19 |
| 1720346604 | Sandra E. Jacobs | Marriage & Family Therapist | 3145 Morning Way, La Jolla, CA 92037-1908 | 2012-04-27 |
| 1659672046 | Sandra Lee Jacobs | Physical Therapist | 606 Lake St, Roscommon, MI 48653-7615 | 2010-11-16 |
| 1821698481 | Sandra Espinosa Jacobs | Behavioral Analyst | 1868 Nacogdoches Rd, San Antonio, TX 78209-2216 | 2020-10-31 |
| 1316398779 | Sandra Jacobs | Counselor | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-06-28 |
| 1659547966 | Sandra Lynn Jacobs | Occupational Therapist | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2008-05-06 |
| 1639375207 | Sandra Lee Jacobs | Marriage & Family Therapist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2007-06-21 |
| 1396718599 | Sandra J Jacobs | Nurse Anesthetist, Certified Registered | 1600 N Main Ave, Lovington, NM 88260-2830 | 2006-02-08 |
| 1215924956 | Sandra Jacobs | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2696 | 2005-09-27 |
| Street Address |
1300 TIGER BLVD |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376646067 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2006-09-07 |
| 1740898337 | Kenneth Kyle Merck | Nurse Practitioner | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2020-07-20 |
| 1003336488 | Pamela Carraway Hitt | Nurse Practitioner | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2017-06-26 |
| 1407262454 | Kate Hinkle | Pharmacist | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2014-07-09 |
| 1881025906 | James Edward Mccall Jr. | Pharmacist | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2013-11-30 |
| 1912257411 | Paul Hix Corn | Pharmacist | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2012-09-12 |
| 1396094124 | Danny C West | Pharmacist | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2012-09-07 |
| 1164691846 | Buffy Wooten York | Nurse Practitioner | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639703820 | Benson Elliott Bagwell | Nurse Practitioner | 111 Evergreen Dr, Clemson, SC 29631-2057 | 2020-02-26 |
| 1174974687 | Cherrish Megan Kyle | Nurse Practitioner | Edwards Hall 101 Mcmillan Rd, Clemson, SC 29634-0001 | 2016-06-27 |
| 1700291168 | Amy B Garrison | Nurse Practitioner | 201 Epsilon Zeta Drive 101 Edwards Hall, Clemson, SC 29634-5262 | 2014-06-24 |
| 1083785018 | Paula J Watt | Nurse Practitioner | 101 Edwards Hall, Clemson, SC 29634-0001 | 2006-11-13 |
| 1588778146 | Michelle Marie Deem | Nurse Practitioner | Joseph F Sullivan Ctr, 101 Edwards Hall, Clemson, SC 29634-0001 | 2006-08-19 |
| 1740898337 | Kenneth Kyle Merck | Nurse Practitioner | 1300 Tiger Blvd, Clemson, SC 29631-1114 | 2020-07-20 |
| 1346872512 | Donald Gene Holbrooks Jr. | Nurse Practitioner | 101 Chapman Hill Rd Ste 101, Clemson, SC 29631-2194 | 2020-02-06 |
| 1245887793 | Kristine Boswell | Nurse Practitioner | 101 Edwards Hall, Clemson, SC 29634-0001 | 2019-08-20 |
| 1699336941 | Caitlin A Moore | Nurse Practitioner | 101 Edwards Hall, Clemson, SC 29634-0001 | 2019-06-27 |
| 1023591419 | Calissa Leshell Brooks | Nurse Practitioner | 101 Edwards Hall, Clemson, SC 29634-0001 | 2018-09-11 |
| Find all providers in CLEMSON | ||||
Please comment or provide details below to improve the information on SANDRA L 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.