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MRS. PRAISY JACOB FNP-BC
NPI 1104371020
Nurse Practitioner - Family in Macomb, MI

Active since August 20, 2016
50861 NESTING RIDGE DR, MACOMB, MI 48044(586) 764-9892 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Praisy Jacob Fnp-bc NPPES

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

MRS. PRAISY JACOB FNP-BC (NPI 1104371020) is an individual family provider in Macomb, Michigan, licensed in Michigan (4704281141) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1104371020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. PRAISY JACOBCredential: FNP-BC
Location Address50861 NESTING RIDGE DRMacomb, MI 48044-1385
Mailing Address50861 Nesting Ridge DrMacomb, MI 48044-1385 · (586) 764-9892
Phone(586) 764-9892
Sole ProprietorNo
Enumeration DateAugust 20, 2016
✔ NPI 1104371020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704281141
50861 NESTING RIDGE DR, Macomb, MI 48044
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Other Names 1

Former Name (1)Praisy Samuel

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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 Praisy Jacob's NPI number?

The NPI number for Praisy Jacob is 1104371020. It was assigned to this individual provider in the NPPES registry on August 20, 2016. The provider is also known as Praisy Samuel.

Where is Praisy Jacob located?

Praisy Jacob practices at 50861 Nesting Ridge Dr, Macomb, MI 48044. The listed phone number is (586) 764-9892.

What is Praisy Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Praisy Jacob accept?

Health plans from Blue Cross and Blue Shield of Texas list Praisy Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Praisy Jacob was last updated on August 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.