Individual provider · Type 1 NPI

Jennifer Lee Jacobs, APRN

Nurse Practitioner · Daytona Beach, FL

NPI number 1376189571 Active

Practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Fax (386) 231-1598

Mailing address

PO Box 945921
Atlanta, GA 30394-5921

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11005326 (FL)
Gerontology Nurse Practitioner 363LG0600XAPRN11005326 (FL)
Nurse Practitioner Primary 363L00000XAPRN11005326 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376189571

Jennifer Lee Jacobs, APRN's National Provider Identifier is 1376189571, issued on Nov 22, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jan 24, 2024.