TINA LYNNE JACOBS NP
NPI 1457515884
Nurse Practitioner in Bloomington, IN

Q: What is Tina Jacobs's NPI number?

The NPI number for Tina Jacobs is 1457515884. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Q: What is Tina Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Jacobs was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 15, 2008

550 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 330-3688(812) 355-3270 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tina Lynne Jacobs Np NPPES

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

TINA LYNNE JACOBS NP (NPI 1457515884) is an individual nurse practitioner in Bloomington, Indiana, licensed in Indiana (71002683A) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1457515884

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTINA LYNNE JACOBSCredential: NP

Location Address550 S LANDMARK AVEBloomington, IN 47403-3239

Mailing Address950 N Meridian St, Ste 500 - Provider EnrollmentIndianapolis, IN 46204-3908 · (317) 962-4941 · Fax (317) 962-4950

Phone(812) 330-3688

Fax(812) 355-3270

Sole ProprietorNo

Enumeration DateJuly 15, 2008

Last NPPES UpdateMay 29, 2013

✔ NPI 1457515884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71002683A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

550 S LANDMARK AVE, Bloomington, IN 47403

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Other Identifiers 4

Medicare PIN549210NNNNIN

Medicare PINP01162923IN

Medicare PINM400021844IN

Medicaid200903450IN

Other Providers at the Same Location NPPES 20

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

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