Dr Mary R Jacob, ARNP is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Winter Park, Florida. Dr Mary R Jacob is licensed to practice in Florida (license number ARNP 1859582) and her current practice location is
1600 S Orlando Ave, Winter Park, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 644-4692.
NPI number for Dr Mary R Jacob is 1396776571 and her current mailing address is 1600 S Orlando Ave, Winter Park, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396776571.
Provider's Profile
Full Name | Dr Mary R Jacob |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | 1600 S Orlando Ave, Winter Park, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396776571
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mary R Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396776571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | ARNP 1859582 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary R Jacob is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mary R Jacob, ARNP 1600 S Orlando Ave, Winter Park, FL 32789-5547 Ph: (407) 644-4692 | Dr Mary R Jacob, ARNP 1600 S Orlando Ave, Winter Park, FL 32789-5547 Ph: (407) 644-4692 |
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