GLENDA R. JACOBS


Address: 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200
Phone: 9123505909

GLENDA R. JACOBS (NPI# 1326350463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326350463
Entity Type Individual
Full Name GLENDA R. JACOBS
Credential RN, CDE
Practice Address 4750 Waters Ave
Suite 452
Savannah
GA 31404-6200
Practice Telephone 9123505909
Practice Fax Number 9123505914
Mailing Telephone 9123505909
Mailing Fax Number 9123505914
Enumeration Date 2010-07-06
Last Update Date 2011-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
RN029458 GA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA WELLCARE 569140 01
GA RR MEDICARE P00869908 01
GA 885842548A 05

Office Location

Street Address 4750 WATERS AVE
SUITE 452
City SAVANNAH
State GA
Zip Code 31404-6200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538168109 Jill Katrice Beckworth Nurse Practitioner 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 2005-07-18
1881177954 Holly Nicole Klepek Genetic Counselor, MS 4750 Waters Ave, Savannah, GA 31404-6200 2018-09-13
1477001659 Sabrina Renee Williams Genetic Counselor, MS 4750 Waters Ave, Suite 302, Savannah, GA 31404-6200 2016-09-15
1871978148 Blanche L. Etheridge Nurse Practitioner 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 2015-07-28
1871974923 Joshua Milby Physician Assistant 4750 Waters Ave, Ste 202, Savannah, GA 31404-6200 2015-06-15
1811385800 April M Downing Registered Nurse 4750 Waters Ave, #206, Savannah, GA 31404-6200 2014-12-30
1538563408 Rebecca Brewster Physician Assistant 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 2014-10-21
1629487855 Patricia A Haselden Nurse Practitioner 4750 Waters Ave, Ste 500, Savannah, GA 31404 2014-08-13
1598194318 Ashmed Vazquez Md PC Obstetrics & Gynecology 4750 Waters Ave, Suite 450, Savannah, GA 31404-6200 2013-11-02
1902145451 Stephanie Alston Health Educator 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 2013-02-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043864580 Carli A Boatright Registered Nurse 4750 Waters Ave Suite 206, Savannah, GA 31404 2019-08-01
1619530573 Morgan Johnson Student in an Organized Health Care Education/Training Program Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 2019-04-17
1477050243 Kevin Timperman Student in an Organized Health Care Education/Training Program 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 2018-04-09
1376048959 Nina Jo Paletta Student in an Organized Health Care Education/Training Program Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 2018-03-27
1972036200 Jose Adrian Lara Gonzalez Student in an Organized Health Care Education/Training Program 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 2017-04-04
1407210396 Lexie Hester Vaughn Student in an Organized Health Care Education/Training Program 1250 East 66th St, Savannah, GA 31404 2016-04-07
1336503291 Miles Love Student in an Organized Health Care Education/Training Program 1250 East 66th Street, Savannah, GA 31404 2016-04-07
1134536881 David Patch Specialist/Technologist Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 2014-07-15
1962846683 Alan Danilo Zevallos Internal Medicine 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 2013-04-24
1730446394 Joshua Ryan Fann Prosthetist 3840 Waters Ave, Savannah, GA 31404 2012-04-19
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275173577 Cynthia M Hockman Registered Nurse 5356 Reynolds St Ste 120, Savannah, GA 31405-6088 2020-01-14
1710142930 Karen A. Capps Registered Nurse 351 Commercial Dr Ste A, Savannah, GA 31406-3618 2008-07-28
1235699059 Amy Rose Wojciechowski Registered Nurse 5356 Reynolds St, Savannah, GA 31405-6016 2019-03-20
1164917316 Kristopher Paul Britt Registered Nurse 4750 Waters Ave Ste 108, Savannah, GA 31404 2018-06-28
1518493543 Pamela Eling Registered Nurse 836 E 65th St Ste 4, Savannah, GA 31405-4491 2017-05-11
1174835284 Cathryn B. Shriver Registered Nurse 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 2010-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275099236 Sherry Hollowell Epstein Registered Nurse 1525 Clifton Rd Ne Bldg A, Atlanta, GA 30322-4200 2019-02-14
1952881278 Renee Walker Rogers Registered Nurse 304 Turner Mccall Blvd Sw Ste 306, Rome, GA 30165-5621 2018-08-16
1174017768 Bells Family Pharmacy, LLC Registered Nurse 4875a Highway 53, Tate, GA 30177 2018-06-18
1144710567 Lisa Cathy-ann Akosa Registered Nurse 1365 Cifton Road Ne, Atlanta, GA 30322 2018-05-10
1134641814 Jennifer Henley Registered Nurse 2000 10th Ave Ste 100, Columbus, GA 31901-3703 2017-07-13
1831619717 George Pierce Trotter Jr. Registered Nurse 304 Turner Mccall Blvd Sw Ste 104, Rome, GA 30165-5621 2017-06-22
1619245669 Katherine E Bell Registered Nurse 4875a Hwy 53 East, Tate, GA 30177-3017 2011-12-06
1669782926 Lam Le Registered Nurse 558 Old Norcross Rd Ste 201, Lawrenceville, GA 30046-4385 2010-10-20
1275726861 Stacey Rowe Schuessler Registered Nurse 150 Martin Luther King Jr Blvd, Monroe, GA 30655-5620 2007-08-27
1932217866 Walton Drug Co Inc Registered Nurse 150 Mkl Jr Blvd, Suite A, Monroe, GA 30655 2006-08-29
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Competitor

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City SAVANNAH
Zip Code 31404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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