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NPI Code Detail

MEDICARE: MRS. MARCIA E. JACOBS F.N.P. - B.C.

MEDICARE: MRS. MARCIA E. JACOBS F.N.P. - B.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
1363LF0000XFamily Nurse Practitioner13567TN
2363L00000XNurse PractitionerAP9819AZ
3363L00000XNurse Practitioner95006066CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24239234OTHERTNBLUE CROSS BLUE SHIELD
31841446556OTHERTNNPI

General Provider Information

NPI Number : 1841446556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARCIA E. JACOBS F.N.P. - B.C.
Provider Business Mailing Address
First Line : 450 ALASKAN WAY S STE 200
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2785
Country : US
Telephone Number : 888-731-8994
Fax Number : 833-775-1861
Provider Business Practice Location Address
First Line : 2 EMBARCADERO CTR LBBY LEVEL
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3823
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2008
Last Update Date : 05/19/2026

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