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

Daisy Sobha Jacob

Individual provider Registered Nurse · NPI 1871075119

Daisy Sobha Jacob is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2017, 9 years ago. Practices with Acclaim Physician Group Inc, a 523-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
3

Practice location Address checks out

1500 S Main St Fl 4
Fort Worth, TX 76104-4917
Phone: (817) 702-1215
Fax: (817) 927-6843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP137437 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 734278 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP137437 (TX)

Record details

NPI number1871075119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2018
Last updated in NPPESJuly 2, 2019
Mailing addressPo Box 732973, Dallas, TX 75373-2973

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Acclaim Physician Group Inc — 523 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Worth