Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cristine Jacob

Individual provider Certified Registered Nurse Anesthetist · NPI 1073345815

Cristine Jacob is a Certified Registered Nurse Anesthetist (CRNA) in Miami, Florida. Qualified in 2024, 2 years ago. Practices with Clinical Colleagues Inc, a 173-clinician group and works from 2 locations. Licensed in Florida, Illinois and North Carolina.

Years since qualifying
2
Licensed in
FL, IL, NC
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

700 SW 107th Ave # 1113
Miami, FL 33174-1302
Phone: (954) 593-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Medical Center Blvd, Winston Salem, NC 27157-0001 — (336) 716-3245

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11037552 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209031736 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 008372 (NC)

Record details

NPI number1073345815
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clinical Colleagues Inc — 173 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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