Jacobs, Dana
Jacobs, Dana is an individual health care provider with primary practice located at 4671 S Congress Ave Ste 100B , Palm Springs FL 33461-4783. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Jacobs, Dana can be contacted via phone (561) 434-0111.Contact Information
Primary practice address
4671 S Congress Ave Ste 100B
Palm Springs FL 33461-4783
Phone: (561) 434-0111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | ARNP3133732 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | ARNP3133732 | Florida |
Profile Details
NPI number | 1831204452 |
---|---|
LBN Legal business name | Jacobs, Dana |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2006 |
Last updated | Jan 29th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831204452 | NPPES |
Florida | MEDICAID | 340344100 | |
Florida | Other | LO389 |
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