MEDICARE: MARGO M JACOBS APRN FNP-C

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	363LF0000X	Family Nurse Practitioner	APRN11048629	FL

General Provider Information

NPI Number	:	1710812664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGO M JACOBS APRN FNP-C

Provider Business Mailing Address
First Line	:	38 EAGLE VIEW LN
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-9505
Country	:	US
Telephone Number	:	630-854-7613
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 EAGLE VIEW LN
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-9505
Country	:	US
Telephone Number	:	630-854-7613
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/24/2026

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