AMANDA JACOB NP NPI 1659846426

NPI Information

  • NPI: 1659846426
  • Provider Name: AMANDA JACOB, NP
  • Classification: Nurse Practitioner - 363LN0000X
  • Specialization: Neonatal
  • Entity Type: Individual
  • Address: 3601 W 13 MILE RD
    ROYAL OAK, MI
    ZIP 48073
  • Phone: (248) 898-0633

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NPI Details

Amanda Jacob, NP is a neonatal nurse practitioner in Royal Oak, MI. Amanda Jacob, NP NPI is 1659846426. 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:

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073-712
Phone: (248) 898-0633
Fax: (248) 898-3393

The enumeration date for this NPI number is 10/9/2018 and was last updated on 7/15/2022.

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
1363L00000XNurse Practitioner4704294394MICHIGANNo
2363LN0000XNurse PractitionerNeonatal4704294394MICHIGANYes

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: 11/21/2025

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