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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN029458 | GA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | WELLCARE | 569140 | 01 |
GA | RR MEDICARE | P00869908 | 01 |
GA | 885842548A | 05 |
Street Address |
4750 WATERS AVE SUITE 452 |
City | SAVANNAH |
State | GA |
Zip Code | 31404-6200 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 31404 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on GLENDA R. JACOBS.
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.