MS. SHARON MARGARET JACOB (NPI# 1487903605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487903605 |
| Entity Type | Individual |
| Full Name | MS. SHARON MARGARET JACOB |
| Credential | MSN, MPH, PMHNP-BC |
| Practice Address |
1831 Gilmore Ave Lakeland FL 33805 |
| Mailing Address |
Po Box 1559 Bartow FL 33831-1559 |
| Practice Telephone | 8635190575 |
| Practice Fax Number | 8636884040 |
| Mailing Telephone | 8635190575 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9171943 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
ARNP9171943 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006495001 | 05 | |
| FL | 006495000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649461708 | Sharon Leigh Jacob | Emergency Medicine | 801 Ostrum Street, Bethlehem, PA 18015 | 2007-08-05 |
| 1386725067 | Sharon K Jacob | Dietitian, Registered | 3207 N Academy Blvd, No. 100, Colorado Springs, CO 80917-5100 | 2006-10-18 |
| Street Address |
1831 GILMORE AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558357418 | Mavra E Kear | Nurse Practitioner | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2005-09-26 |
| 1013530641 | Heather Allyn Williams | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2020-05-18 |
| 1518365758 | Felicia Alice Henry | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2014-12-19 |
| 1669889499 | Ladaisha Jones | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2014-07-14 |
| 1841602307 | Shambrea L Smith | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2014-06-02 |
| 1831519545 | Jeanette Lewis | Licensed Practical Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2014-04-21 |
| 1477892438 | Ted Mims | Case Manager/Care Coordinator | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2013-02-11 |
| 1922347988 | Sonia Laboy | Case Manager/Care Coordinator | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2013-02-11 |
| 1710225701 | Karen Moore | Registered Nurse | 1831 Gilmore Ave, Lakeland, FL 33805-3017 | 2013-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801101845 | Nancy J. Miller-houck | Clinical Nurse Specialist | 566 W Marion Ave, Punta Gorda, FL 33950-4439 | 2010-08-14 |
| 1942538046 | Mary Ann Spencer Legler | Clinical Nurse Specialist | 2027 Manatee Ave W, Bradenton, FL 34205-5836 | 2009-12-01 |
| 1245422013 | Lacara L. Mckay | Clinical Nurse Specialist | 4095 State Road 7 Ste 127, Lake Worth, FL 33449-8178 | 2007-08-15 |
| 1093929234 | Parool Desai | Clinical Nurse Specialist | 2055 Military Trl Ste 306, Jupiter, FL 33458-7816 | 2007-05-09 |
| 1659473387 | Kathleen E Piscani | Clinical Nurse Specialist | 14360 Iroquois Ave, Largo, FL 33774-4405 | 2006-09-02 |
| 1285679340 | Linzey Faison Mental Health Associates Inc | Clinical Nurse Specialist | 501 S Bolivar St, Chattahoochee, FL 32324-1347 | 2006-06-20 |
| 1487293296 | Michael Boas | Clinical Nurse Specialist | 919 Ne 13th St, Ft Lauderdale, FL 33304-2009 | 2019-12-26 |
| 1952855330 | Amy Frantz | Clinical Nurse Specialist | 13279 N Cleveland Ave, Fort Myers, FL 33903 | 2016-08-15 |
| 1497123319 | Dr Luisa Vega Dnp LLC | Clinical Nurse Specialist | 8416 Tidal Breeze Dr, Riverview, FL 33569-4722 | 2015-09-09 |
| 1699177915 | The Alternative | Clinical Nurse Specialist | 2750 Bahia Vista St, Suite 108, Sarasota, FL 34239-2600 | 2014-09-17 |
| Find all providers with the same taxonomy | ||||
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| 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.