Maria Annette Jacobs, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9207533 Issued in FL

Practice address

2245 Balsan Way
Wellington, FL 33414-6435

Phone

(561) 795-7749

Fax

(561) 795-7749

NPI assigned

Oct 15, 2017

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

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

{
    "created_epoch": "1508025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508025600000",
    "number": "1972014199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 BALSAN WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146435",
            "telephone_number": "561-385-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 BALSAN WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146435",
            "telephone_number": "561-795-7749",
            "fax_number": "561-795-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MARIA",
        "middle_name": "ANNETTE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-15",
        "last_updated": "2017-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9207533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Israel, PH.D
• Olivia Nell Izenwasser
• J&R Reliable Transport LLC
• Jack I Newcomer MD PA
• Zachariah Jacob
• Florence Jacquet-Cribe, ARNP
• Michael E Jaeger, DDS
• Marcia Jaffe
• Alyssa Brooke Jagerman
• Kathleen James

• Family Nurse Practitioner in Wellington, FL
• Providers in Wellington, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.