MEDICARE: DR. JINSY ANNE JACOB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	25MA10909500	NJ
2	208000000X	Pediatrics Physician	C181719	CA
3	208000000X	Pediatrics Physician	16659	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124433610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JINSY ANNE JACOB MD

Provider Business Mailing Address
First Line	:	3325 RESEARCH WAY
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-7913
Country	:	US
Telephone Number	:	775-888-6610
Fax Number	:	775-888-4904

Provider Business Practice Location Address
First Line	:	2225 CIVIC CENTER DR
Second Line	:	SUITE 224
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6338
Country	:	US
Telephone Number	:	702-214-5948
Fax Number	:	702-214-9439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	11/07/2025

Similar Medicare Providers

1316946593 — JOANNE LEOVY MD
Practice Location Address:

2225 CIVIC CENTER DR , SUITE 224
NORTH LAS VEGAS, NV
89030-6338

Practice Phone: 702-214-5948
Practice Fax: 702-214-9439

1992783641 — DR. BASIA P YAKAITIS M.D.
Practice Location Address:

2225 CIVIC CENTER DR , SUITE 224
NORTH LAS VEGAS, NV
89030-6338

Practice Phone: 702-214-5948
Practice Fax: 702-214-9439

1457546707 — SHARON W. FROESE APRN./CNM
Practice Location Address:

2225 CIVIC CENTER DR , STE. 230
NORTH LAS VEGAS, NV
89030-6338

Practice Phone: 702-854-2953
Practice Fax:

1164746772 — DR. GOLNAZ R ALEMI MD
Practice Location Address:

2225 CIVIC CENTER DR , SUITE 224
NORTH LAS VEGAS, NV
89030-6338

Practice Phone: 702-214-5948
Practice Fax: 702-214-9439

1518529932 — ABBYRAHMY PARANTHAMAN MD
Practice Location Address:

2225 CIVIC CENTER DR
NORTH LAS VEGAS, NV
89030-6338

Practice Phone: 800-787-2568
Practice Fax:

1902596216 — DR. KATHLEEN E FLETCHER O.D.
Practice Location Address:

2225 CIVIC CENTER DR
NORTH LAS VEGAS, NV
89030-6338

Practice Phone: 702-732-2020
Practice Fax:

Directions to “ DR. JINSY ANNE JACOB MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.