Denise Jacobs, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

493772 Issued in CA

Practice address

1134 E 1St St
Long Beach, CA 90802-5618

Phone

(562) 606-7557

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1336395409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 E 1ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025618",
            "telephone_number": "562-606-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 E 1ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025618",
            "telephone_number": "562-606-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "493772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Jackson
• Veronica L Jackson
• Mary Jacob Mathew, PHD
• Brenda Penny Jacobs, M.D.
• Dean Jacobs
• Stephanie Jacobs, PH.D.
• Synovia A Jacobs, LVN
• Ruth Jacobson, NP
• Evelyn Susan Jacoby-Miller, MSW, LCSW
• Astra Melitante Jacot, PA-C

• Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.