MRS. MARY DEENA JACOB (NPI# 1518425982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518425982 |
| Entity Type | Individual |
| Full Name | MRS. MARY DEENA JACOB |
| Credential | FNP |
| Practice Address |
2865 Mcdermott Rd #225 Plano TX 75025 |
| Mailing Address |
1109,burnet Drive Allen TX 75002 |
| Practice Telephone | 9729082444 |
| Mailing Telephone | 2149015454 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP138925 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124537667 | Mary Jacob | Dentist | 334 Broadway, Revere, MA 02151-5016 | 2017-09-27 |
| 1164774071 | Mary Jacob | Pharmacist | 16 S Waukegan Rd, Deerfield, IL 60015-5216 | 2012-10-03 |
| 1225321755 | Mary Sunny Jacob | Emergency Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2011-05-17 |
| 1194741041 | Mary Ann Jacob | Pediatrics | 2841 Debarr Rd, Suite 45, Anchorage, AK 99508-2932 | 2006-07-14 |
| 1396776571 | Mary R Jacob | Clinical Nurse Specialist | 1600 S Orlando Ave, Winter Park, FL 32789-5547 | 2006-07-05 |
| 1659348399 | Mary Anne Jacob | Obstetrics & Gynecology | 6545 France Avenue South, Suite 540, Edina, MN 55435 | 2006-03-01 |
| 1083612246 | Mary Casey Jacob | Psychologist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-07-12 |
| Street Address |
2865 MCDERMOTT RD #225 |
| City | PLANO |
| State | TX |
| Zip Code | 75025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295545 | Surgery Center 121 LLC | Clinic/Center | 9955 Gillespie Drive Suite 200, Plano, TX 75025 | 2018-08-15 |
| 1902383136 | Quang Dangtran | Adult Companion | 7604 Stoney Point Dr, Plano, TX 75025 | 2018-07-20 |
| 1598256851 | Rachel J Dove | Behavioral Analyst | 8900 Smokey Dr, Plano, TX 75025 | 2018-05-22 |
| 1659879641 | Beatrice Wambui Ngaruiya | Pharmacist | 312 Preston Rd, Plano, TX 75025 | 2018-01-25 |
| 1841718392 | Ngonje Emilia Dibaki | Community Health Worker | 7900 Stable Glen Drive, Plano, TX 75025 | 2017-09-05 |
| 1497280408 | Js Pedodontics Pllc | Dentist | 3555 National Drive, Ste. 200, Plano, TX 75025 | 2017-04-27 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1982147708 | Dentspan Pllc | Dentist | 3680 Sh 121, 100, Plano, TX 75025 | 2016-11-28 |
| 1669827093 | Raz Silberman | Community Health Worker | 9708 Congressional Dr, Plano, TX 75025 | 2016-05-04 |
| 1104291483 | Lindsey Baxter | Nurse Practitioner | 2401 Trailwest Lane, Plano, TX 75025 | 2015-12-11 |
| Find all providers in zip 75025 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081244 | Congling Wang | Nurse Practitioner | 400 Maplelawn Dr Ste 100, Plano, TX 75075-5743 | 2020-10-26 |
| 1457958712 | Evelyn C.k. Maangi | Nurse Practitioner | 9428 Patagonia Ln, Plano, TX 75025-4594 | 2020-10-08 |
| 1609487222 | Melissa Garcia | Nurse Practitioner | 1550 W Plano Pkwy Apt 1118, Plano, TX 75075-8671 | 2020-08-17 |
| 1538779533 | Karissa Janda | Nurse Practitioner | 3908 Legner St, Plano, IL 60545-1397 | 2020-08-04 |
| 1689290660 | Kelsey Perry | Nurse Practitioner | 5717 Legacy Dr Ste 170, Plano, TX 75024-3813 | 2020-06-24 |
| 1821622259 | Dinah M. Ogeto | Nurse Practitioner | 7117 Sugarplum Dr, Plano, TX 75074-2058 | 2020-02-25 |
| 1285264937 | Graciella Martinez | Nurse Practitioner | 5425 W Spring Creek Pkwy Ste 210, Plano, TX 75024-4241 | 2020-01-22 |
| 1083253587 | Rachel Aldis-krengel | Nurse Practitioner | 807 Cole Ct, Plano, IL 60545-9815 | 2019-12-31 |
| 1932740982 | Nitas Duru Oha | Nurse Practitioner | 555 Republic Dr Fl 2, Plano, TX 75074-5481 | 2019-10-01 |
| 1306499157 | Kristin Joo Eun Kim | Nurse Practitioner | 3108 Midway Rd Ste 105, Plano, TX 75093-8470 | 2019-07-22 |
| Find all providers in PLANO | ||||
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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.