KASSIDY JACOBS NP-C NPI 1740838853

NPI Information

NPI: 1740838853
Provider Name: KASSIDY JACOBS, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC

PECOS Registration: Yes

Address:
4191 THE CIRCLE AT NORTH HILLS ST
RALEIGH, NC
ZIP 27609
Phone: (919) 786-2534
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Kassidy Jacobs, NP-C is a family nurse practitioner in Raleigh, NC with 5 years of experience. Kassidy Jacobs, NP-C NPI is 1740838853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4191 THE CIRCLE AT NORTH HILLS ST
RALEIGH, NC
ZIP 27609-712
Phone: (919) 786-2534

The NPI 1740838853 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2019 and was last updated on 4/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		277714	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	5012203	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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