Healthcare Provider Details

I. General information

NPI: 1932027315
Provider Name (Legal Business Name): ZANTE JACOBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9548 HOOD RD UNIT 201
JACKSONVILLE FL
32257-6971
US

IV. Provider business mailing address

9548 HOOD RD UNIT 201
JACKSONVILLE FL
32257-6971
US

V. Phone/Fax

Practice location:
  • Phone: 904-910-5277
  • Fax:
Mailing address:
  • Phone: 904-910-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number434906
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: