Individual provider · Type 1 NPI
Sharon Margaret Jacob, MSN, MPH, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Lakeland, FL
NPI number
1487903605
Active
Practice location
1835 Gilmore Ave
Lakeland, FL 33805-3017
Fax (863) 582-9251
Mailing address
PO Box 1559
Bartow, FL 33831-1559
Other practice locations
- 1201 Hays St, Tallahassee, FL 32301-2699 · (800) 370-3651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9171943 (FL) |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | ARNP9171943 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN9171943 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1487903605
Sharon Margaret Jacob, MSN, MPH, PMHNP-BC's National Provider Identifier is 1487903605, issued on Sep 4, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lakeland, FL. The record was last updated on Mar 8, 2021.