MEDICARE: MR. JACOB TANNER BARB RN

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	163W00000X	Registered Nurse	255632	TN
2	163WC0200X	Critical Care Medicine Registered Nurse	255632	TN
3	163WN0002X	Neonatal Intensive Care Registered Nurse	255632	TN
4	163WN0003X	Low-Risk Neonatal Registered Nurse	255632	TN
5	163WP0200X	Pediatric Registered Nurse	255632	TN
6	163WP0218X	Pediatric Oncology Registered Nurse	255632	TN
7	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse	255632	TN
8	376G00000X	Nursing Home Administrator	NHA-NHA-LIC-6721	MT
9	163WA2000X	Administrator Registered Nurse	255632	TN

General Provider Information

NPI Number	:	1508601634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JACOB TANNER BARB RN

Provider Business Mailing Address
First Line	:	7950 LEGACY DR STE 1000
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0417
Country	:	US
Telephone Number	:	972-943-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	7950 LEGACY DR STE 1000
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0417
Country	:	US
Telephone Number	:	972-943-6400
Fax Number	:

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

Provider Enumeration Date	:	06/29/2024
Last Update Date	:	06/12/2025

Similar Medicare Providers

1831638238 — CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST, INC.
Practice Location Address:

TAYLOR AT MARION ST
COLUMBIA, SC
29220-0001

Practice Phone: 803-296-3757
Practice Fax:

1497681142 — KENDALL WALKER
Practice Location Address:

6000 COLUMBUS AVE APT 2410
PLANO, TX
75024-6172

Practice Phone: 903-949-1192
Practice Fax:

1083540579 — LORRIE MAES
Practice Location Address:

5022 TENNYSON PKWY
PLANO, TX
75024-3151

Practice Phone: 214-491-5083
Practice Fax:

1275469629 — SHREYA ENJETI
Practice Location Address:

4574 CAPE CHARLES DR
PLANO, TX
75024-7342

Practice Phone: 972-880-0965
Practice Fax:

1700716347 — LESLIE YULIANA COUOH
Practice Location Address:

5044 TENNYSON PKWY
PLANO, TX
75024-2952

Practice Phone: 972-378-4104
Practice Fax:

1982046561 — PLANO SUPREME PRIMARY CARE INC
Practice Location Address:

4020 HEDGCOXE RD , SUITE 700
PLANO, TX
75024-7700

Practice Phone: 972-213-0088
Practice Fax:

Directions to “ MR. JACOB TANNER BARB RN” 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.