Individual provider · Type 1 NPI

Lisha Jacob

Certified Registered Nurse Anesthetist · Dallas, TX

NPI number 1194440222 Active

Practice location

6201 Harry Hines Blvd
Dallas, TX 75235-5202

Mailing address

2049 Lake Bend Dr
Irving, TX 75060-7743

Other practice locations

  • 525 N Wolfe St, Baltimore, MD 21205-2110 · (410) 955-4766

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X916213 (TX)
Certified Registered Nurse Anesthetist Primary 367500000X1213293 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1194440222

Lisha Jacob's National Provider Identifier is 1194440222, issued on Oct 11, 2022. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Dallas, TX. The record was last updated on Mar 2, 2026.