Amber Lee Jacobs, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP70128640-NP Issued in WA

Practice address

1112 Robert Bush Dr Unit C
South Bend, WA 98586-1300

Phone

(360) 875-1716

NPI assigned

May 7, 2026

Last updated

Jul 16, 2026By the provider in NPPES

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

State licenses

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

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1386571784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21914 PACIFIC WAY",
            "city": "OCEAN PARK",
            "state": "WA",
            "postal_code": "986403209",
            "telephone_number": "360-518-9998",
            "fax_number": "360-845-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 ROBERT BUSH DR UNIT C",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985861300",
            "telephone_number": "360-875-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21914 Pacific Way",
            "address_purpose": "LOCATION",
            "city": "Ocean Park",
            "state": "WA",
            "postal_code": "986403209",
            "country_code": "US",
            "telephone_number": "360-518-9998",
            "fax_number": "360-845-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Pacific Ave S Ste 9",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "WA",
            "postal_code": "986313545",
            "country_code": "US",
            "telephone_number": "360-244-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP70128640-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harbor Family Practice Inc
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• Steven Frederick Hill, D.O.
• Frank A Hing, MD
• Hope Revisited Counseling Services PLLC (Hope Revisited Counseling Services)
• Sambasivarao Venkata Karanam, MD
• Trudi K Kulp, PT
• Myograsp Bodywork
• Amir Sean Nagavi, MD
• Pacific County Hospital District #2 (Southbend Clinic)

• Primary Care Nurse Practitioner in South Bend, WA
• Providers in South Bend, WA by specialty
• Primary Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.