Wendy June Jacobi, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00641900 Issued in NJ

Practice address

800 Haddonfield Rd
Cherry Hill, NJ 08002-2604

Phone

(856) 663-7690

NPI assigned

Dec 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Hazleton Professional Services

  • Internal Medicine Physician
  • Hazleton, PA
  • NPI 1952464638
  NPD (past)
• Pulmonary Associates PC

  • Pulmonary Disease Physician
  • Allentown, PA
  • NPI 1245209022
  NPD (past)

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1639414220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 VERSAILLES BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080035133",
            "telephone_number": "570-977-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HADDONFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022604",
            "telephone_number": "856-663-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "WENDY",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012560",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00641900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Nichole Jackson, COTA
• Terrance Jackson, CRNA
• Tyshall Shamick Jackson, RN
• Sondra Nadeen Jacob, OTR
• Jessica Delores Jacobi
• Jayme B Jacobs, PSYD
• Michael Jacobs, M.D.
• Mimi Jacobs, PT
• Pamela M Jacobs, DPT
• Gerald Jacobson, DMD

• Family Nurse Practitioner in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.