MAVIS JACOBS R.N.
NPI 1073889416
Registered Nurse - General Practice in Elmhurst, NY

Active since March 29, 2012
8055 CORNISH AVE, ELMHURST, NY 11373(718) 899-6258 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mavis Jacobs R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAVIS JACOBS R.N. (NPI 1073889416) is an individual general practice provider in Elmhurst, New York, licensed in New York (528003-1) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1073889416
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMAVIS JACOBSCredential: R.N.
Location Address8055 CORNISH AVEElmhurst, NY 11373-3728
Mailing Address18811 Suffolk DrSaint Albans, NY 11412-3008 · (646) 523-3801
Sole ProprietorYes
Enumeration DateMarch 29, 2012
NPI 1073889416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License Licensed in NY · 528003-1
8055 CORNISH AVE, Elmhurst, NY 11373

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
8055 CORNISH AVE
ELMHURST, NY 11373
Speech-Language Pathologist
8055 CORNISH AVE
ELMHURST, NY 11373
Registered Nurse
8055 CORNISH AVE
ELMHURST, NY 11373
Speech-Language Pathologist
8055 CORNISH AVE
ELMHURST, NY 11373
Speech-Language Pathologist
8055 CORNISH AVE
ELMHURST, NY 11373
Nursing Care
8055 CORNISH AVE
ELMHURST, NY 11373
Speech-Language Pathologist
8055 CORNISH AVE
ELMHURST, NY 11373
Speech-Language Pathologist
8055 CORNISH AVE
ELMHURST, NY 11373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mavis Jacobs's NPI number?

The NPI number for Mavis Jacobs is 1073889416. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Mavis Jacobs located?

Mavis Jacobs practices at 8055 Cornish Ave, Elmhurst, NY 11373. The listed phone number is (718) 899-6258.

What is Mavis Jacobs's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Mavis Jacobs was last updated on March 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.