VICTORIA EDUARDOVNA JACOBS NP NPI 1730217167

NPI Information

NPI: 1730217167
Provider Name: VICTORIA EDUARDOVNA JACOBS, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: VALLEY MENTAL HEALTH INCORPORATED

PECOS Registration: Yes

Address:
817 W 700 S
SLC, UT
ZIP 84104
Phone: (801) 712-8850
Get Directions

Victoria Eduardovna Jacobs, NP is a psychiatric/mental health nurse practitioner in Slc, UT with 18 years of experience. Victoria Eduardovna Jacobs, NP NPI is 1730217167. 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:

817 W 700 S
SLC, UT
ZIP 84104-405
Phone: (801) 712-8850

The NPI 1730217167 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 2/28/2007 and was last updated on 12/4/2020.

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	363L00000X	Nurse Practitioner		5142656-4405	UTAH	No
2	363LF0000X	Nurse Practitioner	Family	5142656-4405	UTAH	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5142656-4405	UTAH	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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