CAROL ILMA JACOBS NP
NPI 1255354064
Nurse Practitioner - Adult Health in Cleveland, WI

Active since July 25, 2006
1205 NORTH AVE, CLEVELAND, WI 53015(920) 693-5600(920) 693-5604 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Ilma Jacobs Np NPPES

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

CAROL ILMA JACOBS NP (NPI 1255354064) is an individual adult health provider in Cleveland, Wisconsin, licensed in Wisconsin (137) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1255354064
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAROL ILMA JACOBSCredential: NP
Location Address1205 NORTH AVECleveland, WI 53015-1413
Mailing Address1274 Meadowbrook DriveCleveland, WI 53015
Fax(920) 693-5604
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255354064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in WI · 137
1205 NORTH AVE, Cleveland, WI 53015

Other Identifiers 1

Medicare UPINS56307WI

Other Providers at the Same Location NPPES 17

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

Social Worker (Clinical)
1205 NORTH AVE
CLEVELAND, WI 53015
Licensed Practical Nurse
1205 NORTH AVE
CLEVELAND, WI 53015
Social Worker (Clinical)
1205 NORTH AVE
CLEVELAND, WI 53015
Clinic/Center
1205 NORTH AVE
CLEVELAND, WI 53015
Internal Medicine
1205 NORTH AVE
CLEVELAND, WI 53015
Registered Nurse
1205 NORTH AVE
CLEVELAND, WI 53015
Nurse Practitioner (Adult Health)
1205 NORTH AVE
CLEVELAND, WI 53015
Dietitian, Registered
1205 NORTH AVE
CLEVELAND, WI 53015

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 Carol Jacobs's NPI number?

The NPI number for Carol Jacobs is 1255354064. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Carol Jacobs located?

Carol Jacobs practices at 1205 North Ave, Cleveland, WI 53015. The listed phone number is (920) 693-5600.

What is Carol Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Carol Jacobs was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.