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SHANNON LYNN JACOBS
NPI 1477410843
Peer Specialist in Poplar Bluff, MO

Active since January 07, 2026
686 LESTER ST, POPLAR BLUFF, MO 63901(573) 686-1200 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Shannon Lynn Jacobs NPPES

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

SHANNON LYNN JACOBS (NPI 1477410843) is an individual peer specialist in Poplar Bluff, Missouri and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1477410843
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANNON LYNN JACOBS
Location Address686 LESTER STPoplar Bluff, MO 63901-5025
Mailing Address686 Lester StPoplar Bluff, MO 63901-5025 · (573) 686-1200
Phone(573) 686-1200
Sole ProprietorNo
Enumeration DateJanuary 7, 2026
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1477410843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
686 LESTER ST, Poplar Bluff, MO 63901
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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.

SALLY ELIZABETH THURMAN
Community Health Worker
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
REBECCA PETERS
Behavior Technician
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
BREAUNA DESHEA BUCHANAN
Peer Specialist
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
KNEIBERT CLINIC LLC
Clinic/Center (Rural Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-2411
DEBRA S PRICE FNP
Nurse Practitioner (Psychiatric/Mental Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-2411
CLARK GARLAND
Counselor (Mental Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 873-6833
JARRICA LYNN JOHNSON LMSW
Social Worker
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
SARAH ELIZABETH SMITH
Behavior Technician
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200

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 Shannon Jacobs's NPI number?

The NPI number for Shannon Jacobs is 1477410843. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Shannon Jacobs located?

Shannon Jacobs practices at 686 Lester St, Poplar Bluff, MO 63901. The listed phone number is (573) 686-1200.

What is Shannon Jacobs's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shannon Jacobs was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.