BERNICE JANA JACOB FNP
NPI 1215472949
Nurse Practitioner - Family in Tustin, CA

Active since January 04, 2017
17612 17TH ST, TUSTIN, CA 92780(714) 243-5450 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bernice Jana Jacob Fnp NPPES

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

BERNICE JANA JACOB FNP (NPI 1215472949) is an individual family provider in Tustin, California, licensed in California (95005613) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1215472949
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBERNICE JANA JACOBCredential: FNP
Location Address17612 17TH STTustin, CA 92780-1962
Mailing Address914 Hibiscus WayPlacentia, CA 92870-4716 · (714) 422-7732
Sole ProprietorYes
Enumeration DateJanuary 4, 2017
NPI 1215472949 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 CA · 95005613
17612 17TH ST, Tustin, CA 92780

Other Providers at the Same Location NPPES 8

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

Physician Assistant
17612 17TH ST
TUSTIN, CA 92780
Physician Assistant
17612 17TH ST
TUSTIN, CA 92780
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Physician Assistant
17612 17TH ST
TUSTIN, CA 92780
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Physician Assistant
17612 17TH ST
TUSTIN, CA 92780

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 Bernice Jacob's NPI number?

The NPI number for Bernice Jacob is 1215472949. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Bernice Jacob located?

Bernice Jacob practices at 17612 17th St, Tustin, CA 92780. The listed phone number is (714) 243-5450.

What is Bernice Jacob's specialty?

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

When was this NPI record last updated?

The NPPES record for Bernice Jacob was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.