SANDRA MARCEY JACOB NP NPI 1609097914

NPI Information

NPI: 1609097914
Provider Name: SANDRA MARCEY JACOB, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
ELM AND CARLTON ST
BUFFALO, NY
ZIP 14263
Phone: (716) 845-2300
Get Directions

Sandra Marcey Jacob, NP is an adult health nurse practitioner in Buffalo, NY. Sandra Marcey Jacob, NP NPI is 1609097914. 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:

ELM AND CARLTON ST
BUFFALO, NY
ZIP 14263-001
Phone: (716) 845-2300
Fax: (716) 845-2949

The enumeration date for this NPI number is 5/2/2007 and was last updated on 10/25/2013.

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	363LA2200X	Nurse Practitioner	Adult Health	F304579	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RB4686	MEDICARE PIN	NEW YORK
2	02877810	MEDICAID	NEW YORK

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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