DAISY SOBHA JACOB NPI 1871075119

NPI Information

NPI: 1871075119
Provider Name: DAISY SOBHA JACOB
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1500 S MAIN ST FL 4
FORT WORTH, TX
ZIP 76104
Phone: (817) 702-1215
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Daisy Sobha Jacob is a family nurse practitioner in Fort Worth, TX with 7 years of experience. Daisy Sobha Jacob NPI is 1871075119. 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:

1500 S MAIN ST FL 4
FORT WORTH, TX
ZIP 76104-917
Phone: (817) 702-1215
Fax: (817) 927-6843

The NPI 1871075119 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 9/4/2018 and was last updated on 7/2/2019.

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		734278	TEXAS	No
2	363L00000X	Nurse Practitioner		AP137437	TEXAS	No
3	363LF0000X	Nurse Practitioner	Family	AP137437	TEXAS	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: 4/28/2024

NPI Synchronization or Removal

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