Jeanine Jacobs, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000005149 Issued in TN

Practice address

1514 Sparta St
MC Minnville, TN 37110-1317

Phone

(931) 473-8400

Fax

(931) 473-0620

NPI assigned

Mar 10, 2007

Last updated

Feb 27, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1740312339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-8400",
            "fax_number": "931-473-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-8400",
            "fax_number": "931-473-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JEANINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Mark Ivey, OT
• J.W. Carell Enterprises, LLC (CareAll Home Care Services, Inc.)
• Mary Margaret Cook Jackson, DO
• Rebekah Jackson
• Gordon Jackson Jacobs, M.D.
• Jacqueline Aune
• Mary Jane Jamieson
• Christopher Jenkins, NP
• Elizabeth Austin Jenkins, NP
• Regina Ann Jennings

• Family Nurse Practitioner in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.