MRS. NANCY SUPAN JACOB FNP-C NPI 1740019231

NPI Information

  • NPI: 1740019231
  • Provider Name: MRS. NANCY SUPAN JACOB, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1111 COLUMBUS ST
    BAKERSFIELD, CA
    ZIP 93305
  • Phone: (661) 326-2800

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NPI Details

MRS. Nancy Supan Jacob, FNP-C is a family nurse practitioner in Bakersfield, CA with 2 years of experience. MRS. Nancy Supan Jacob, FNP-C NPI is 1740019231. 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:

1111 COLUMBUS ST
BAKERSFIELD, CA
ZIP 93305-936
Phone: (661) 326-2800

The NPI 1740019231 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 7/31/2024 and was last updated on 7/31/2024.

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
1363LF0000XNurse PractitionerFamily95030852CALIFORNIAYes

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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