Individual provider · Type 1 NPI
Tina Lynne Jacobs, NP
Nurse Practitioner · Bloomington, IN
Practice location
550 S Landmark Ave
Bloomington, IN 47403-3239
Fax (812) 355-3270
Mailing address
950 N Meridian St, Ste 500 - Provider Enrollment
Indianapolis, IN 46204-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71002683A (IN) |
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 1457515884
Tina Lynne Jacobs, NP's National Provider Identifier is 1457515884, issued on Jul 15, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bloomington, IN. The record was last updated on May 29, 2013.