Janus Long Jacobs, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP117194 Issued in TX

Practice address

601 N Industrial Blvd
Bedford, TX 76021-5234

Phone

(817) 283-0161

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Janus Long Pemberton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skilled Primary Care PLLC

  • Physical Medicine & Rehabilitation Physician
  • Frisco, TX
  • NPI 1528384070
  NPD (past)
• Internal Medicince West a Member of Covenant Health

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1922138262
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1134319908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N INDUSTRIAL BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215234",
            "telephone_number": "817-283-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N INDUSTRIAL BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215234",
            "telephone_number": "817-283-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JANUS",
        "middle_name": "LONG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANUS",
            "last_name": "PEMBERTON",
            "middle_name": "LONG",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antonious Dewayne Jackson, D.C., F.N.P-C
• Ryan C Jackson, MD
• Sharon L Jackson, MD
• Stacey Jackson, FNP-C
• Tinu Elsa Jacob, RPH
• Banny Jasmine Jaen
• Enilse Jaen
• Desoree James
• Jerry James, PHARMD, MS
• Peter Thomas Janicki, M.D.

• Family Nurse Practitioner in Bedford, TX
• Providers in Bedford, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.