MRS. BRENDA L JACOBS (NPI# 1538138599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538138599 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA L JACOBS |
| Credential | ARNP |
| Practice Address |
356 E Midway Rd Fort Pierce FL 34982-7148 |
| Practice Telephone | 7724649746 |
| Practice Fax Number | 7724649750 |
| Mailing Telephone | 7724649746 |
| Mailing Fax Number | 7724649750 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP3289002 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 305240100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104326834 | Brenda Snow Jacobs | Respite Care | 147 Summerfield Dr, Mcdonough, GA 30253-5308 | 2018-02-19 |
| 1477753051 | Brenda Lee Jacobs | Pharmacist | 2500 Us Hwy 14, Janesville, WI 53545-0309 | 2007-07-20 |
| 1083682371 | Brenda Penny Jacobs | Obstetrics & Gynecology | 3550 Linden Ave, Suite #1, Long Beach, CA 90807-4577 | 2006-03-10 |
| 1720111990 | Brenda Joyce Jacobs | Nurse Practitioner | 145 W Waterman St, Dumas, AR 71639-2139 | 2007-03-14 |
| Street Address |
356 E MIDWAY RD |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-7148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884028 | Darla L Bagwell | Nurse Practitioner | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2005-10-11 |
| 1306487400 | Tiffany Marie Black | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-10-01 |
| 1902466287 | Midway Infectious Diseases, LLC | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-06-18 |
| 1366942039 | Suzette Wood | Pharmacist | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2018-02-19 |
| 1306393145 | Lauren Leeflang | Physician Assistant | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2016-09-09 |
| 1598114779 | Midway Primary Care LLC | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2016-06-08 |
| 1376970814 | Midway Specialty Care Center Inc | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2013-09-30 |
| 1477818367 | Nichole M Castle | Nurse Practitioner | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2012-07-07 |
| 1447544408 | Moti Ramgopal Mdpa | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2011-06-07 |
| 1356580518 | Midway Immunology and Research Center | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326448093 | Mary L. Dennis X | Nurse Practitioner | 7605 Hibiscus Rd, Fort Pierce, FL 34951-1744 | 2014-08-29 |
| 1568630408 | Laura Hanke Arnp Ltd Co | Nurse Practitioner | 3805 Promenade Way, Fort Pierce, FL 34982-6568 | 2008-02-13 |
| 1942313275 | Dorothy E Bulgin | Nurse Practitioner | 725 N Us Highway 1, Fort Pierce, FL 34950-9125 | 2006-08-17 |
| 1801884028 | Darla L Bagwell | Nurse Practitioner | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2005-10-11 |
| 1427239276 | Kimberly Nachelle Stinson | Nurse Practitioner | 1900 Nebraska Ave, Suite 1, Fort Pierce, FL 34950-4837 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34982 |
Please comment or provide details below to improve the information on MRS. BRENDA L 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.