Individual provider · Type 1 NPI
Betsy Jacob, APN
Family Nurse Practitioner · Bloomingdale, IL
NPI number
1366630642
Active
Practice location
1 Tiffany Pt Ste 203
Bloomingdale, IL 60108-2916
Fax (727) 473-3368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 277001175 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366630642
Betsy Jacob, APN's National Provider Identifier is 1366630642, issued on Oct 11, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bloomingdale, IL. The record was last updated on Nov 12, 2025.