Active NPIIndividual provider

Alice Jacob

Nurse Practitioner, Psych/Mental Health in West Warwick, Rhode Island

NPI Number1639705916
Practice location
186 Providence St, West Warwick, RI 02893-2508
Fax
—
Last updated
October 7, 2021

Alice Jacob is a Nurse Practitioner, Psych/Mental Health based in West Warwick, RI. Alice Jacob practices in West Warwick, RI. The NPI Number for Alice Jacob is 1639705916 and holds a License No. RN49456 (RI). The current practice location address for Alice Jacob is 186 Providence St, West Warwick, RI 02893-2508 and can be reached out via phone at 401-615-2800.

Provider Profile Details

NPI Number
1639705916
Provider Name
Alice Jacob
Provider Entity Type
Individual
Gender
Female
Address
186 Providence St, West Warwick, RI 02893-2508
Phone Number
401-615-2800
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
March 18, 2020
Last Update Date
October 7, 2021
Certification Date
October 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Providence St
West Warwick, RI 02893-2508
Zip
02893-2508
Phone Number
401-615-2800
West Warwick, RI 02893Get directions →

Provider Business Mailing Address Details

Address
186 Providence St
West Warwick, RI 02893-2508
City
West Warwick
State
RI
Zip
02893-2508
Phone Number
401-615-2800

License Information

License Number (1)
RN49456
License State (1)
RI
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
APRN02527
License State (2)
RI
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alice Jacob?

The NPI number of Alice Jacob is 1639705916. It was assigned on March 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Alice Jacob?

Alice Jacob is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in RI under license number RN49456.

Where does Alice Jacob practice?

The practice location is 186 Providence St, West Warwick, RI 02893-2508. The office can be reached at 401-615-2800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639705916 directly on the NPPES registry website.

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